Nursing Elites

1. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Rationale: Kwashiorkor is a type of severe acute malnutrition caused by a deficiency of dietary protein. It is characterized by symptoms such as edema (swelling due to fluid retention), skin lesions, an enlarged liver with fatty infiltrates, and muscle wasting. Muscle wasting is a key feature of kwashiorkor due to the body breaking down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is a symptom of vitamin A deficiency, scurvy (option C) is caused by a lack of vitamin C, and rickets (option D) is a condition resulting from a deficiency of vitamin D, calcium, or phosphate.

2. Melatonin is a hormone produced by the pineal gland. What is its primary function?

• A. Regulate blood pressure
• B. Stimulate the digestive system
• C. Control sleep-wake cycles
• D. Maintain bone density

Correct answer: C

Rationale: The correct answer is C: 'Control sleep-wake cycles.' Melatonin is a hormone that plays a key role in regulating the body's sleep-wake cycle, also known as the circadian rhythm. The pineal gland releases melatonin in response to darkness, helping to signal to the body that it is time to sleep. By influencing the timing and quality of sleep, melatonin helps maintain a healthy sleep pattern and overall well-being. While blood pressure, digestive system stimulation, and bone density are important functions in the body, melatonin's primary function is to regulate the sleep-wake cycle.

3. What is the term for a solution that has exactly the same concentration of solute as another solution?

• A. Saturated solution
• B. Unsaturated solution
• C. Isotonic solution
• D. Concentrated solution

Correct answer: c

Rationale: An isotonic solution has the same concentration of solute as another solution. The other choices do not accurately describe an isotonic solution.

4. A group of antibiotics that target the cell wall of bacteria are classified as:

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Rationale: Penicillins are a group of antibiotics that target the cell wall of bacteria by inhibiting the synthesis of peptidoglycan, a key component of the bacterial cell wall. By interfering with cell wall synthesis, penicillins weaken the cell wall, leading to bacterial cell lysis and death. This mechanism of action makes penicillins effective against a wide range of bacteria, particularly Gram-positive bacteria. Tetracyclines (B), Macrolides (C), and Fluoroquinolones (D) have different mechanisms of action and do not specifically target the bacterial cell wall. Tetracyclines inhibit protein synthesis, Macrolides interfere with bacterial ribosomes, and Fluoroquinolones target bacterial DNA gyrase and topoisomerase IV.

5. Aseptic meningitis is an inflammation of the meninges caused by:

• A. Bacteria
• B. Viruses
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Rationale: Aseptic meningitis is typically caused by viral infections, such as enteroviruses (e.g., coxsackievirus, echovirus), herpes simplex virus, varicella-zoster virus, and others. These viruses can infect the meninges, leading to inflammation and symptoms of meningitis without the presence of bacteria. While bacterial meningitis is a serious and life-threatening condition, aseptic meningitis caused by viruses is usually less severe and has a better prognosis. Fungi and parasites are less common causes of meningitis compared to bacteria and viruses.

6. The large intestine absorbs water and electrolytes from digested food material. What waste product remains after water absorption and is eventually eliminated from the body?

• A. Chyme
• B. Bolus
• C. Glucose
• D. Feces

Correct answer: D

Rationale: The large intestine is responsible for absorbing water and electrolytes from digested food material. As the waste material moves through the large intestine, most of the water is absorbed, leaving behind waste products known as feces. Feces consist of indigestible material, bacteria, and some remaining waste products. This waste is eventually eliminated from the body through the process of defecation. Chyme refers to the semi-fluid mass of partially digested food that moves from the stomach to the small intestine. Bolus is a term used to describe a mass of chewed food ready to be swallowed. Glucose is a simple sugar that is absorbed in the small intestine and used as an energy source. Therefore, the correct answer is D: Feces.

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