Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. During January, Dr. Lewis worked 20 shifts. During February, she worked three times as many shifts as she did during January. During March, she worked half the number of shifts she worked during February. Which equation below describes the number of shifts Dr. Lewis worked in March?

• A. shifts = 20 + 3 + 1/2
• B. shifts = (20)(3)(1/2)
• C. shifts = (20)(3) + 1/2
• D. shifts = 20 + (3)(1/2)

Correct answer: B

Rationale: During January, Dr. Lewis worked 20 shifts. Shifts for January = 20. During February, she worked three times as many shifts as she did during January. Shifts for February = (20)(3) = 60. During March, she worked half the number of shifts she worked in February. Shifts for March = (60)(1/2) = 30. Therefore, the correct equation to describe the number of shifts Dr. Lewis worked in March is 'shifts = (20)(3)(1/2)', representing the calculation based on the given scenario. Choices A, C, and D do not accurately represent the correct mathematical relationship between the shifts worked in the different months, making them incorrect.

3. The hike became increasingly difficult as we got closer to the top of the mountain. Which of the following parts of speech is 'increasingly' as used in the sentence above?

• A. Adjective
• B. Interjection
• C. Verb
• D. Adverb

Correct answer: D

Rationale: In this sentence, 'increasingly' is functioning as an adverb. Adverbs modify verbs, adjectives, or other adverbs to describe the manner, degree, or frequency of an action. In this case, 'increasingly' describes how the difficulty of the hike was growing as we approached the mountain top. Choice A, 'Adjective,' is incorrect as adjectives modify nouns or pronouns, not verbs. Choice B, 'Interjection,' is also incorrect because interjections are words used to express strong emotions or sentiments, not to describe actions or qualities. Choice C, 'Verb,' is incorrect as 'increasingly' is not a verb; it does not express an action or state of being.

4. Parkinson's disease is a neurodegenerative disorder affecting which neurotransmitter?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Glutamate

Correct answer: A

Rationale: Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter that plays a crucial role in coordinating movement. The reduction of dopamine levels leads to the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia. Choice B, acetylcholine, is involved in functions like muscle contraction and autonomic nervous system regulation but is not primarily affected in Parkinson's disease. Serotonin (Choice C) is involved in mood regulation and sleep, not the main neurotransmitter affected in Parkinson's disease. Glutamate (Choice D) is the major excitatory neurotransmitter in the central nervous system and is not primarily implicated in Parkinson's disease pathophysiology.

5. What is correct about the hormones that stimulate male and female organs to produce male and female sex hormones?

• A. Female organs are stimulated by female hormones and male organs by male hormones.
• B. The same hormones that produce male or female sex characteristics stimulate the organs.
• C. The same hormones stimulate both male and female organs to produce sex hormones.
• D. The hypothalamus stimulates the pituitary gland's secretion of male and female hormones.

Correct answer: C

Rationale: The correct answer is C. The same hormones stimulate both male and female organs to produce sex hormones. Hormones such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH) are produced by the pituitary gland and act on the ovaries in females and the testes in males to stimulate the production of sex hormones (estrogen and progesterone in females, testosterone in males). Therefore, the same hormones stimulate both male and female organs to produce sex hormones. Choices A, B, and D are incorrect because they do not accurately describe the relationship between hormones and the stimulation of male and female organs to produce sex hormones.

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