Nursing Elites

1. In the human skeleton, which of the following lists some of the vertebrae in descending order?

• A. Atlas, axis, thoracic, lumbar, sacral, coccyx.
• B. Axis, sacral, coccyx, atlas, lumbar, thoracic.
• C. Thoracic, sacral, lumbar, axis, coccyx, atlas.
• D. Coccyx, lumbar, axis, sacral, thoracic, atlas.

Correct answer: A

Rationale: The correct order of some of the vertebrae in the human skeleton in descending order is Atlas, Axis, Thoracic, Lumbar, Sacral, Coccyx. This sequence follows the typical arrangement from the top of the spine down towards the pelvis. Choice B is incorrect as it does not follow the descending order of vertebrae. Choice C is incorrect as it starts with Thoracic which is not the first vertebra in the descending order. Choice D is incorrect as it starts with Coccyx which is the last vertebra in the descending order.

2. Which of the following types of immunity is provided by the secretion of antibodies by B-cells?

• A. Cell-mediated
• B. Humoral
• C. Innate immunity
• D. Phagocytic

Correct answer: B

Rationale: The correct answer is B: Humoral. Humoral immunity involves B-cells secreting antibodies to fight pathogens. In this type of immunity, antibodies circulate in the blood and other body fluids to neutralize pathogens and prevent infections. Cell-mediated immunity, on the other hand, involves the activation of T-cells to directly attack infected or abnormal cells, not the secretion of antibodies. Innate immunity refers to the nonspecific defense mechanisms the body has in place from birth, such as physical barriers and inflammatory responses. Phagocytic immunity is not a recognized type of immunity; phagocytosis is a mechanism used by cells like macrophages to engulf and digest pathogens, but it is not a specific form of immunity like humoral or cell-mediated immunity.

3. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

4. What is the primary function of the epiglottis in the respiratory system?

• A. Filtration of air
• B. Production of mucus
• C. Prevention of food entering the trachea
• D. Oxygen exchange in the alveoli

Correct answer: C

Rationale: The primary function of the epiglottis in the respiratory system is to prevent food from entering the trachea. During swallowing, the epiglottis covers the opening of the trachea, guiding food down the esophagus to the stomach and preventing it from entering the airway. This mechanism safeguards the respiratory system from foreign objects, ensuring proper air passage and avoiding potential choking hazards. Choices A, B, and D are incorrect: A) Filtration of air is mainly performed by the nasal hairs and the mucous membranes of the respiratory tract. B) Production of mucus is primarily carried out by the mucous glands in the respiratory system to trap particles and humidify the air. D) Oxygen exchange in the alveoli occurs in the lungs and is related to the process of respiration, not the function of the epiglottis.

5. How does the body maintain a relatively constant blood pH level, even with changes in blood carbon dioxide concentration?

• A. Cellular respiration
• B. Gas exchange
• C. Buffering system
• D. Deoxygenation

Correct answer: C

Rationale: The correct answer is C: Buffering system. The buffering system is responsible for maintaining a relatively constant blood pH level by minimizing changes in pH when acids or bases are added to the blood. This system consists of chemical compounds that can donate or accept protons to help stabilize the pH. Choice A, Cellular respiration, and Choice B, Gas exchange, are processes involved in gas exchange within the body, not specifically related to maintaining blood pH. Choice D, Deoxygenation, refers to the removal of oxygen from a substance and is not directly related to the regulation of blood pH.

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