Nursing Elites

1. How is blood pressure controlled by the body?

• A. By adjusting heart rate only
• B. By regulating blood volume
• C. By baroreceptors and hormones
• D. By adjusting body temperature

Correct answer: C

Rationale: Blood pressure is controlled by baroreceptors located in the aortic arch and carotid arteries that detect changes in blood pressure levels. When blood pressure is high, these receptors signal for adjustments to lower it. Additionally, hormones such as renin from the kidneys are released when blood pressure drops, further aiding in blood pressure regulation. Choice A is incorrect because blood pressure regulation involves more than just adjusting heart rate; it also includes vasodilation and vasoconstriction. Choice B is incorrect as while blood volume can impact blood pressure, it is not the primary mechanism of blood pressure control. Choice D is incorrect as body temperature regulation is a separate physiological process and not directly related to blood pressure control.

2. Fluorescent microscopy utilizes which property of certain molecules to create a visible image?

• A. Staining properties
• B. Light absorption
• C. Fluorescence emission
• D. Refraction

Correct answer: C

Rationale: Fluorescent microscopy relies on the property of certain molecules to fluoresce when exposed to specific wavelengths of light. When these molecules absorb light energy, they become excited and then emit light at a longer wavelength, producing a visible image. This emitted light is what is used to create the image in fluorescent microscopy, making option C, fluorescence emission, the correct answer. Staining properties (option A) are used to enhance contrast in microscopy but are not the primary mechanism in fluorescent microscopy. Light absorption (option B) is involved in the excitation of fluorescent molecules but is not the property used to create the visible image. Refraction (option D) is the bending of light as it passes through different mediums and is not the property utilized in fluorescent microscopy.

3. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

4. How are kidney stones formed?

• A. Due to excess water not being reabsorbed
• B. When minerals crystallize in the urine
• C. When electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: Kidney stones are formed when minerals in the urine crystallize and stick together to form solid masses. Excess water not being reabsorbed (option A) does not directly contribute to kidney stone formation. Similarly, electrolytes becoming too concentrated (option C) is not a direct cause of kidney stone formation. The correct answer is B because the crystallization of minerals in the urine leads to the formation of kidney stones.

5. Which cells myelinate neurons in the PNS?

• A. Oligodendrocytes
• B. Astrocytes
• C. Schwann cells
• D. Microglia

Correct answer: C

Rationale: Schwann cells are the glial cells responsible for myelinating neurons in the peripheral nervous system (PNS). They form the myelin sheath around axons, which helps in the conduction of electrical impulses. Oligodendrocytes, on the other hand, myelinate neurons in the central nervous system (CNS). Astrocytes primarily provide support for neuronal function by regulating the chemical environment around neurons and maintaining the blood-brain barrier. Microglia are part of the immune response in the CNS, where they act as the resident macrophages, playing a role in immune surveillance and response to injury or disease. Therefore, the correct answer is Schwann cells (Choice C) as they specifically myelinate neurons in the PNS, differentiating them from the other cell types mentioned in the choices.

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