Nursing Elites

1. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The most common location for an ectopic pregnancy is the fallopian tube. This occurs when the fertilized egg implants and grows outside the uterus, typically in the fallopian tube. Ectopic pregnancies in other locations such as the ovary, cervix, or vagina are much rarer. The fallopian tube is the correct answer because it is the site where the fertilized egg may get stuck during its journey to the uterus, leading to implantation and growth outside the uterus. The ovary is not a common site for ectopic pregnancy, and implantation there can be life-threatening due to the risk of severe bleeding. The cervix and vagina are not typical sites for implantation of a fertilized egg, making them less likely locations for an ectopic pregnancy.

2. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

3. Which plane divides the body into anterior (front) and posterior (back) halves?

• A. Sagittal/Median Plane
• B. Frontal/Coronal Plane
• C. Transverse/Cross-Section Plane
• D. Horizontal Plane

Correct answer: B

Rationale: The correct answer is B - Frontal/Coronal Plane. This plane divides the body into anterior (front) and posterior (back) halves. The sagittal plane divides the body into left and right halves, the transverse plane separates the body into superior (upper) and inferior (lower) portions. The horizontal plane is not a standard anatomical term for body division and does not provide division into front and back halves.

4. Which of the following statements regarding the pericardium is not correct?

• A. It allows for the heart to work in a relatively friction-free environment
• B. It is a single-walled layer around the heart
• C. It prevents overfilling of the heart with blood
• D. It protects and anchors the heart

Correct answer: B

Rationale: The correct statement about the pericardium is that it is double-walled, not single-walled. Choice A is correct because the pericardium does allow the heart to work in a relatively friction-free environment, reducing friction during heartbeats. Choice C is correct as the pericardium helps prevent the overfilling of the heart with blood. Choice D is also correct as the pericardium serves to protect and anchor the heart in place within the chest cavity.

5. Which of the following stimulates adaptive immunity?

• A. Peptides
• B. Phagocytes
• C. Prions
• D. Platelets

Correct answer: C

Rationale: The correct answer is C: Prions. Prions are infectious proteins that can stimulate an adaptive immune response by triggering the production of specific antibodies. Peptides are fragments of proteins and can be processed and presented by antigen-presenting cells to activate T cells, which play a role in adaptive immunity. Phagocytes, such as macrophages, are part of the innate immune system and are involved in engulfing and destroying pathogens, but they do not directly stimulate adaptive immunity. Platelets are primarily involved in blood clotting and are not directly related to stimulating adaptive immunity.

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