Nursing Elites

1. Which condition is characterized by inflammation of the inner lining of the stomach?

• A. Gastroesophageal reflux disease (GERD)
• B. Diverticulitis
• C. Ulcerative colitis
• D. Gastritis

Correct answer: D

Rationale: The correct answer is D, gastritis. Gastritis refers to the inflammation of the inner lining of the stomach, which can be caused by various factors such as excessive alcohol consumption, prolonged use of NSAIDs, or bacterial infections like H. pylori. Gastroesophageal reflux disease (GERD) is characterized by the backflow of stomach acid into the esophagus, not inflammation of the stomach lining. Diverticulitis is inflammation of small pouches that can develop in the colon, while ulcerative colitis is inflammation in the large intestine. Therefore, gastritis best fits the description of inflammation in the inner lining of the stomach.

2. Vaccines work by stimulating the immune system to develop memory without causing full-blown illness. What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: The correct answer is D: Antigens (specific molecules) from the pathogen. Vaccines contain antigens, which are specific molecules from the pathogen that trigger the immune response without causing the full-blown illness. By presenting these antigens to the immune system, vaccines stimulate the production of memory cells that can recognize and combat the pathogen in the future. Options A, B, and C are incorrect because vaccines typically do not contain toxins, live attenuated forms, or inactivated forms of the pathogen. Instead, they contain specific antigens to induce an immune response without causing the actual disease.

3. The fluid-filled sacs that cushion the brain within the skull are called:

• A. Meninges
• B. Cerebrospinal fluid
• C. Dura mater
• D. Arachnoid mater

Correct answer: B

Rationale: The correct answer is B: Cerebrospinal fluid. Cerebrospinal fluid is a clear, colorless fluid that surrounds the brain and spinal cord, acting as a cushion to protect the central nervous system from injury. Meninges (Option A) are the protective membranes that cover the brain and spinal cord, while the dura mater (Option C) and arachnoid mater (Option D) are specific layers of the meninges. However, cerebrospinal fluid is the fluid-filled sac that directly cushions the brain within the skull, making it the most appropriate answer for this question.

4. An IV drip delivers medication at a rate of 40 drops per minute. Each drop contains 0.05 milliliters of the medication. How many milliliters of medication are delivered in one hour?

• A. 12 milliliters
• B. 24 milliliters
• C. 60 milliliters
• D. 120 milliliters

Correct answer: B

Rationale: First convert minutes to hours (1 hour * 60 minutes). Then, multiply the number of drops per minute (40 drops/minute) by the volume per drop (0.05 ml/drop) and by the conversion factor (60 minutes/hour) to find the total volume delivered: 40 drops/minute * 0.05 ml/drop * 60 minutes/hour = 24 milliliters.

5. Which division of the nervous system is responsible for the "fight or flight" response, preparing the body to respond to stressful situations?

• A. Somatic nervous system
• B. Autonomic nervous system
• C. Peripheral nervous system
• D. Central nervous system

Correct answer: b

Rationale: The correct answer is B: Autonomic nervous system. The autonomic nervous system controls involuntary bodily functions, including the 'fight or flight' response. This response is crucial for survival, triggering the body to prepare for action in stressful situations by increasing heart rate, dilating pupils, and releasing adrenaline. The somatic nervous system (A) controls voluntary movements, the peripheral nervous system (C) connects the central nervous system to the rest of the body, and the central nervous system (D) consists of the brain and spinal cord, overseeing all bodily functions but not directly involved in the 'fight or flight' response.

6. The T wave on an ECG corresponds to:

• A. Atrial depolarization
• B. Ventricular depolarization
• C. Atrial repolarization
• D. Ventricular repolarization

Correct answer: D

Rationale: The T wave on an ECG corresponds to ventricular repolarization. During this phase, the ventricles are resetting electrically after contraction, preparing for the next heartbeat. Atrial depolarization is represented by the P wave, ventricular depolarization by the QRS complex, and atrial repolarization is typically hidden within the QRS complex. Therefore, option D, 'Ventricular repolarization,' is the correct choice when identifying the electrical activity represented by the T wave on an ECG.

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