Nursing Elites

1. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

2. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

3. Which hormone, produced by the pituitary gland, stimulates the growth and development of bones, muscles, and organs?

• A. Growth hormone (GH)
• B. Thyroid-stimulating hormone (TSH)
• C. Prolactin
• D. Follicle-stimulating hormone (FSH)

Correct answer: A

Rationale: The correct answer is Growth hormone (GH). GH, produced by the pituitary gland, is responsible for stimulating the growth and development of bones, muscles, and organs. It plays a critical role in regulating growth during childhood and adolescence by promoting cell division, protein synthesis, and tissue growth. Thyroid-stimulating hormone (TSH) functions to stimulate the thyroid gland to produce thyroid hormones, while prolactin is involved in milk production. Follicle-stimulating hormone (FSH) is primarily responsible for reproductive functions like egg development in females and sperm production in males.

4. What is the role of the pancreas in regulating blood sugar levels?

• A. To produce insulin only
• B. To produce both insulin and glucagon
• C. To store glucose
• D. To produce adrenaline

Correct answer: B

Rationale: The correct answer is B. The pancreas plays a crucial role in regulating blood sugar levels by producing both insulin and glucagon. Insulin helps lower blood sugar levels by promoting the uptake of glucose into cells, while glucagon raises blood sugar levels by stimulating the release of stored glucose into the bloodstream. Choice A is incorrect because the pancreas produces both insulin and glucagon. Choice C is incorrect because the pancreas does not store glucose; instead, it regulates glucose levels. Choice D is incorrect because adrenaline is produced by the adrenal glands, not the pancreas, and is not directly involved in regulating blood sugar levels.

5. Which of the following blood vessels carries oxygenated blood from the lungs back to the left atrium of the heart?

• A. Pulmonary artery
• B. Pulmonary vein
• C. Aorta
• D. Inferior vena cava

Correct answer: B

Rationale: The correct answer is B: Pulmonary vein. The pulmonary vein carries oxygenated blood from the lungs back to the left atrium of the heart. This oxygenated blood is then pumped out to the rest of the body. The pulmonary artery, choice A, carries deoxygenated blood from the heart to the lungs for oxygenation. The aorta, choice C, is responsible for carrying oxygenated blood from the heart to the body's tissues. Choice D, the inferior vena cava, transports deoxygenated blood from the lower body back to the heart.

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