Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. The fossil record shows that dinosaurs with feathers existed millions of years before birds. This is evidence for

• A. Convergent evolution (unrelated organisms evolving similar traits)
• B. Divergent evolution (related organisms evolving different traits)
• C. Coevolution (two species influencing each other's evolution)
• D. The extinction of dinosaurs due to an asteroid impact

Correct answer: A

Rationale: The fossil record indicates that dinosaurs had feathers before birds, suggesting convergent evolution. Convergent evolution occurs when unrelated organisms independently evolve similar traits to adapt to similar environmental pressures. In this case, both dinosaurs and birds developed feathers for flight or insulation purposes, even though they are not closely related. This evidence supports the concept of convergent evolution rather than divergent evolution, coevolution, or the extinction of dinosaurs due to an asteroid impact. Therefore, the correct answer is A, as it best explains the scenario where dinosaurs with feathers existed before birds, showcasing the concept of unrelated organisms evolving similar traits independently.

3. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

4. What factors can contribute to edema, a condition characterized by swelling due to a buildup of lymph fluid?

• A. Regular exercise
• B. Maintaining a healthy weight
• C. Poor circulation or blockage in the lymphatic system
• D. Proper hydration

Correct answer: C

Rationale: Edema is caused by the accumulation of excess fluid in the body's tissues, leading to swelling. Poor circulation or blockage in the lymphatic system can contribute to the development of edema by impairing the body's ability to properly drain fluid. While regular exercise, maintaining a healthy weight, and proper hydration are crucial for overall health, they are not direct causes of edema. Poor circulation or blockage in the lymphatic system disrupts the normal balance of fluid in the body, resulting in edema. Therefore, the correct factor that can contribute to edema is poor circulation or blockage in the lymphatic system.

5. The spleen, a large lymphatic organ, is located in the:

• A. Chest
• B. Abdomen
• C. Pelvis
• D. Head and neck

Correct answer: B

Rationale: The spleen is located in the abdomen, specifically in the upper left part of the abdomen, under the ribcage and above the stomach. It is an important organ in the lymphatic system responsible for filtering blood, storing blood cells, and fighting infection. It is not located in the chest, pelvis, or head and neck regions. Therefore, the correct answer is 'B: Abdomen.' Choices 'A: Chest,' 'C: Pelvis,' and 'D: Head and neck' are incorrect as the spleen is not situated in these anatomical areas.

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