Nursing Elites

1. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

2. What is the body's primary defense against pathogens?

• A. Phagocytes
• B. Antibodies
• C. Memory B cells
• D. T lymphocytes

Correct answer: A

Rationale: The correct answer is A: Phagocytes. Phagocytes are the body's first line of defense against pathogens. They are innate immune cells that engulf and digest foreign particles like bacteria and viruses, preventing infections. Phagocytes act as the initial barrier to invading pathogens and are part of the innate immune response. Choice B, Antibodies, are produced by B cells in the adaptive immune response. Choice C, Memory B cells, are also part of the adaptive immune response and provide a faster and stronger response upon re-exposure to pathogens. Choice D, T lymphocytes, are part of the adaptive immune response, particularly involved in cell-mediated immunity.

3. What is the bottom number in a blood pressure reading?

• A. Diastolic pressure
• B. Systolic pressure
• C. Pulse rate
• D. Mean arterial pressure

Correct answer: A

Rationale: The correct answer is A: Diastolic pressure. The bottom number in a blood pressure reading represents the diastolic pressure, which indicates the lowest pressure in the arteries when the heart is resting between beats. This value is important in understanding the overall health of the cardiovascular system. Choice B, Systolic pressure, is the top number in a blood pressure reading and represents the pressure in the arteries when the heart is contracting. Choice C, Pulse rate, refers to the number of times the heart beats in a minute. Choice D, Mean arterial pressure, is a calculated value using both systolic and diastolic pressures to provide an average pressure in the arteries during a cardiac cycle, but it is not the bottom number in a blood pressure reading.

4. How many grams of solid CaCO3 are needed to make 600 mL of a 35 M solution? The atomic masses for the elements are as follows: Ca = 40.1 g/mol; C = 12.01 g/mol; O = 16.00 g/mol.

• A. 18.3 g
• B. 19.7 g
• C. 21.0 g
• D. 24.2 g

Correct answer: B

Rationale: 1. First, calculate the molar mass of CaCO3 by adding the atomic masses of Ca, C, and 3 O atoms: 40.1 + 12.01 + (3 * 16.00) = 100.13 g/mol. 2. Calculate the number of moles in 600 mL of a 35 M solution: 600 mL * 35 mol/L = 21,000 mmol. 3. Convert moles to grams using the molar mass of CaCO3: 21,000 mmol * (100.13 g/mol / 1000 mmol/mol) = 2,102.73 g. 4. Therefore, you would need 19.7 g of solid CaCO3 to make 600 mL of a 35 M solution.

5. What is the function of the stratified cuboidal epithelium lining the salivary glands?

• A. Protection
• B. Gas exchange
• C. Secretion
• D. Absorption

Correct answer: C

Rationale: The correct answer is C: Secretion. The stratified cuboidal epithelium lining the salivary glands is responsible for secretion. This type of epithelium, made of multiple layers of cube-shaped cells, is specialized for secretion and protection. In the salivary glands, these cells secrete saliva to aid in the digestion process. Choice A, Protection, is incorrect because while the epithelium does provide some level of protection, its primary function in the salivary glands is secretion. Choice B, Gas exchange, is incorrect as the salivary glands are not involved in gas exchange processes. Choice D, Absorption, is also incorrect as the main role of this epithelium in the salivary glands is not absorption but rather secretion of saliva.

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