Nursing Elites

1. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

2. 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.

3. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels primarily due to muscle contractions and breathing movements and also with the help of one-way valves within the vessels. The lymphatic system lacks a central pump like the heart; hence, it relies on the contraction of surrounding muscles and breathing movements to propel lymph fluid. One-way valves within the lymphatic vessels prevent backflow and ensure the unidirectional flow of lymph. Option A is incorrect as the lymphatic system does not rely on the pumping action of the heart. Option D is incorrect as the correct answer is the combination of muscle contractions, breathing movements, and one-way valves, not all the options provided.

4. Which of the following is a dense, interconnected mass of nerve cells located outside the central nervous system?

• A. ganglion
• B. dendrite
• C. cranial nerve
• D. pons

Correct answer: A

Rationale: A ganglion is a dense, interconnected mass of nerve cells located outside the central nervous system. Ganglia serve as relay points where nerve cells communicate and integrate signals. They are found along peripheral nerves, processing sensory information and coordinating motor responses. Choice B, dendrite, refers to a part of a neuron that receives signals, not a mass of nerve cells. Choice C, cranial nerve, is a bundle of nerves that emerge from the brain, not a mass of nerve cells. Choice D, pons, is a part of the brainstem, which is within the central nervous system, not located outside of it.

5. Which of the following hormones is responsible for regulating blood sugar levels?

• A. Insulin
• B. Adrenaline
• C. Cortisol
• D. Melatonin

Correct answer: A

Rationale: Insulin is the hormone responsible for regulating blood sugar levels by facilitating the uptake of glucose into cells. Insulin helps lower blood sugar levels by promoting the storage of glucose in the liver, muscle, and fat cells. Adrenaline, cortisol, and melatonin do not directly regulate blood sugar levels. Adrenaline is involved in the fight-or-flight response, cortisol is a stress hormone that affects metabolism, immune response, and anti-inflammatory actions, while melatonin regulates sleep-wake cycles.

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