Nursing Elites

1. All of the following are parts of the respiratory system EXCEPT the:

• A. Trachea
• B. Bronchi
• C. Esophagus
• D. Larynx

Correct answer: C

Rationale: The esophagus is part of the digestive system, not the respiratory system. The trachea, bronchi, and larynx are all components of the respiratory system responsible for the passage of air during breathing and speech production. The esophagus, on the other hand, is part of the digestive system, responsible for the transportation of food from the mouth to the stomach through a series of muscular contractions called peristalsis. Therefore, the correct answer is 'Esophagus (C).' Choices A, B, and D are all integral parts of the respiratory system, playing crucial roles in the airway and vocalization processes.

2. Which of the following describes the general function of cytokines in the immune system?

• A. They communicate between cells to instigate an immune response.
• B. They inhibit blood clotting during inflammation responses.
• C. They bind to specific pathogens to increase pathogen mass.
• D. They transport pathogens trapped in mucus to be destroyed in the stomach.

Correct answer: A

Rationale: The correct answer is A: 'They communicate between cells to instigate an immune response.' Cytokines are signaling molecules that act as messengers between cells in the immune system, playing a vital role in coordinating and regulating immune responses. They communicate with various immune cells to initiate appropriate responses against pathogens. Choice B is incorrect because cytokines do not inhibit blood clotting but rather regulate immune responses. Choice C is incorrect as cytokines do not bind to specific pathogens to increase their mass; instead, they regulate the immune response. Choice D is also incorrect because cytokines do not transport pathogens trapped in mucus to the stomach for destruction; they primarily function as signaling molecules within the immune system.

3. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

4. What causes stretch marks?

• A. The epidermis layer becomes inflamed
• B. The dermis layer becomes inflamed
• C. The dermis layer tears due to rapid stretching
• D. Sebaceous glands become clogged

Correct answer: C

Rationale: Stretch marks occur when the dermis layer tears due to rapid stretching of the skin. This tearing leads to the appearance of stretch marks, which are often red or purple at first and then fade to a silvery-white color over time. Inflammation of the dermis or clogging of sebaceous glands are not directly related to the formation of stretch marks. Therefore, choices A, B, and D are incorrect as they do not describe the actual cause of stretch marks.

5. What is the technical term for the free edges of your fingernails and toenails?

• A. Lunula (The lunula is the white crescent moon shape at the base of the nail)
• B. Matrix (The matrix is the area under the nail where new nail cells are produced)
• C. Hyponychium (This is the skin under the free edge of the nail)
• D. Free edge

Correct answer: C

Rationale: The correct answer is C, hyponychium. The hyponychium is the skin under the free edge of the nail, responsible for sealing the nail to the fingertip and protecting the nail bed from bacteria and debris. The lunula (choice A) refers to the white crescent moon shape at the base of the nail. The matrix (choice B) is the area under the nail where new nail cells are produced. The free edge (choice D) is the part of the nail that extends beyond the fingertip or toe.

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