Nursing Elites

1. During vigorous exercise, the respiratory rate increases to:

• A. Meet the increased demand for oxygen in working muscles
• B. Eliminate excess carbon dioxide more slowly
• C. Conserve energy for physical activity
• D. Decrease the amount of oxygen delivered to the body

Correct answer: A

Rationale: During vigorous exercise, the respiratory rate increases to meet the increased demand for oxygen in working muscles. When we exercise vigorously, our muscles require more oxygen to produce energy through aerobic metabolism. Increasing the respiratory rate allows more oxygen to be taken in and transported to the muscles via the bloodstream to support this increased demand. Option A is correct because it accurately reflects the physiological response of the respiratory system to vigorous exercise, ensuring that working muscles receive sufficient oxygen for optimal performance.

2. During exercise, oxygen is used to convert glucose into energy for muscles. This process is called:

• A. Aerobic respiration
• B. Anaerobic respiration
• C. Glycolysis
• D. Lactic acid fermentation

Correct answer: A

Rationale: The correct answer is 'A: Aerobic respiration.' During exercise, muscles require energy to function, and oxygen plays a crucial role in converting glucose into energy through aerobic respiration. This process occurs in the mitochondria of cells and involves the breakdown of glucose to produce ATP, the cell's energy currency. Aerobic respiration is efficient and produces a higher yield of ATP compared to anaerobic respiration or glycolysis alone. Anaerobic respiration (option B) and glycolysis (option C) are also involved in energy production but do not rely on oxygen. Lactic acid fermentation (option D) occurs when there is not enough oxygen available, leading to the accumulation of lactic acid. Therefore, the most appropriate answer is 'A: Aerobic respiration.'

3. Which hormone, produced by the adrenal glands, helps regulate the body's response to stress, including increasing blood pressure and suppressing the immune system?

• A. Aldosterone
• B. Epinephrine
• C. Cortisol
• D. Insulin

Correct answer: c

Rationale: The correct answer is C: Cortisol. Cortisol is a hormone produced by the adrenal glands that plays a crucial role in the body's response to stress. It helps regulate blood pressure by increasing it to prepare the body for stressors. Additionally, cortisol suppresses the immune system to prioritize the stress response. Aldosterone, while also produced by the adrenal glands, primarily regulates electrolyte balance and blood pressure. Epinephrine, produced by the adrenal medulla, is involved in the fight-or-flight response but does not suppress the immune system like cortisol. Insulin, produced by the pancreas, regulates blood sugar levels and is not directly involved in the stress response. Therefore, Cortisol is the hormone that specifically helps regulate the body's response to stress by increasing blood pressure and suppressing the immune system.

4. The formula for body mass index (BMI) is BMI = weight (kg) / height (m)^2. If a patient's BMI is 25 and their height is 1.7m, what is their weight?

• A. 34kg
• B. 45kg
• C. 56kg
• D. 68kg

Correct answer: C

Rationale: 56kg: Rearrange the formula to solve for weight: weight = BMI * height^2.

5. What is the main component of sweat?

• A. Urea
• B. Glucose
• C. Water
• D. Electrolytes

Correct answer: C

Rationale: Rationale: - Sweat is primarily composed of water, making up the majority of its content. Water helps regulate body temperature by evaporating from the skin's surface, which cools the body down. - While sweat does contain small amounts of other substances like urea, glucose, and electrolytes, water is the main component that is secreted by sweat glands to help regulate body temperature during physical activity or in response to heat.

6. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Unlike the circulatory system which relies on the heart's pumping action, the lymphatic system lacks a central pump. Lymph moves through lymphatic vessels primarily due to muscle contractions and breathing movements that squeeze the vessels, helping propel the lymph forward. Additionally, one-way valves within the lymphatic vessels prevent the backward flow of lymph, ensuring it moves in the right direction. Therefore, all three mechanisms - heart pumping, muscle contractions, and one-way valves - work together to facilitate the movement of lymph through the lymphatic system.

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