Nursing Elites

1. How are the motor pathways of the ANS arranged?

• A. Single neuron from CNS to target organ
• B. Two neurons, a pre-ganglionic and post-ganglionic neuron
• C. Multiple neurons from CNS to target organ
• D. Single neuron from CNS to peripheral ganglia

Correct answer: B

Rationale: The correct answer is B. The motor pathways of the autonomic nervous system (ANS) are organized with two neurons: a pre-ganglionic neuron that transmits the signal from the central nervous system (CNS) to a ganglion, and a post-ganglionic neuron that conveys the signal from the ganglion to the target organ. This dual-neuron pathway enables the integration and modulation of signals before reaching the target organ, allowing for a more sophisticated and adaptable control system. Choice A is incorrect as it describes a single neuron pathway, which is not characteristic of ANS motor pathways. Choice C is incorrect as it suggests multiple neurons from the CNS to the target organ, which is not the typical arrangement. Choice D is incorrect as it describes a single neuron pathway from the CNS to peripheral ganglia, which does not account for the ganglionic transmission in ANS motor pathways.

2. Which of the following substances is NOT typically found in healthy urine?

• A. Urea
• B. Glucose
• C. Creatinine
• D. Electrolytes

Correct answer: B

Rationale: Glucose is not typically found in healthy urine because the kidneys usually filter glucose from the blood and reabsorb it back into the bloodstream. The presence of glucose in urine, known as glucosuria, is usually indicative of diabetes or other medical conditions affecting glucose regulation. On the other hand, urea, creatinine, and electrolytes are commonly present in healthy urine as byproducts of metabolism and electrolyte balance. Urea is a waste product of protein metabolism, creatinine is a waste product of muscle metabolism, and electrolytes are essential for various physiological functions in the body. Therefore, choices A, C, and D are typically found in healthy urine, making them incorrect answers.

3. Immunoglobulin G (IgG) is the most abundant antibody type, responsible for:

• A. Immediate allergic reactions
• B. Neutralizing toxins and viruses
• C. Activating other immune cells
• D. Protecting newborns from infections

Correct answer: B

Rationale: Immunoglobulin G (IgG) is indeed the most prevalent antibody type in the blood and tissue fluids. Its primary functions include neutralizing toxins and viruses, promoting phagocytosis, and activating the complement system. IgG plays a crucial role in long-term immunity and provides passive immunity to newborns by crossing the placenta, safeguarding them from infections. Immediate allergic reactions are mainly mediated by IgE, not IgG. While IgM is known for activating other immune cells, IgG focuses on other key functions within the immune response, such as neutralizing pathogens and enhancing phagocytosis. Therefore, the correct answer is B, as IgG is primarily involved in neutralizing toxins and viruses, rather than the other options presented.

4. How much sugar is in a 1 M solution of sugar water?

• A. 1 L of water
• B. 100 mL of solution
• C. Every 100 g of water
• D. It depends on the type of sugar

Correct answer: B

Rationale: A 1 M solution of sugar water contains 1 mole of sugar in 1 liter of solution. Since 1 M (molar) solution means there is 1 mole of solute (sugar) dissolved in 1 liter of solvent (water), the correct answer is 100 mL of solution. Choice A, '1 L of water,' is incorrect because it does not specify the total volume of the solution. Choice C, 'Every 100 g of water,' is incorrect as it focuses on the weight of water, not the volume of the solution. Choice D, 'It depends on the type of sugar,' is incorrect since the concentration of a 1 M solution is standardized and does not vary based on the type of sugar used.

5. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: The correct answer is A: Ball-and-socket joint (shoulder). Ball-and-socket joints, exemplified by the shoulder joint, provide the widest range of movement among joint types. These joints facilitate flexion, extension, abduction, adduction, and rotation, allowing for versatile mobility. In a ball-and-socket joint, the rounded end of one bone fits into the socket of another bone, enabling extensive motion capabilities. Choice B, Hinge joint (elbow), allows movement in one plane, limiting its range compared to ball-and-socket joints. Choice C, Fibrocartilaginous joint (wrists), like the intervertebral discs, is meant for stability rather than extensive movement. Choice D, Suture joint (skull), found in the skull bones, is immovable and provides structural support rather than movement.

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