Nursing Elites

1. How many neurons typically comprise a sensory pathway?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: C

Rationale: A sensory pathway generally consists of three neurons: a first-order neuron, a second-order neuron, and a third-order neuron. The first-order neuron carries sensory information from the periphery to the spinal cord or brainstem. The second-order neuron then transmits this information to the thalamus or cerebellum. Finally, the third-order neuron projects the sensory input to the cerebral cortex for processing and perception. Therefore, the correct answer is 3 (C). Choices A, B, and D are incorrect as they do not align with the typical structure of a sensory pathway involving three neurons.

2. What are the four main regions of the stomach?

• A. Pylorus, cecum, fundus, body
• B. Cardia, fundus, body, pylorus
• C. Duodenum, jejunum, ileum, cecum
• D. Cardia, fundus, body, ileum

Correct answer: B

Rationale: The correct answer is B: Cardia, fundus, body, pylorus. The four main regions of the stomach are the cardia (where food enters), fundus (upper part), body (largest part), and pylorus (exit part to the small intestine). These regions play specific roles in the digestion process. Choice A is incorrect because the cecum is part of the large intestine, not the stomach. Choice C lists parts of the small intestine, not the stomach. Choice D is incorrect as the ileum is the last part of the small intestine, not a region of the stomach.

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. 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.

5. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

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