Nursing Elites

1. Which of the following processes represents a different level of defense compared to the others?

• A. A low pH in the stomach
• B. Cilia present in the trachea
• C. Body cells recognizing a pathogen
• D. Mucus present in the nasal cavity

Correct answer: C

Rationale: Among the listed processes, low pH in the stomach, cilia in the trachea, and mucus in the nasal cavity serve as physical barriers that form the first line of defense against pathogens. These barriers work to block pathogens from entering the body. On the other hand, body cells recognizing a pathogen involves the immune response, which operates at a different level of defense. This process is part of the adaptive immune response, where the body's immune cells identify, target, and eliminate specific pathogens to provide a specialized defense after the pathogens have breached the physical barriers. Therefore, body cells recognizing a pathogen represent a different level of defense compared to the other listed processes.

2. What is the main function of the urinary bladder?

• A. To filter blood
• B. To store and concentrate bile
• C. To store urine
• D. To absorb nutrients

Correct answer: C

Rationale: The correct answer is C: To store urine. The main function of the urinary bladder is to store urine produced by the kidneys before it is excreted from the body. It acts as a reservoir for urine until it is expelled during urination. Choices A, B, and D are incorrect because the urinary bladder does not filter blood, store or concentrate bile, or absorb nutrients. It is solely responsible for storing and releasing urine.

3. What condition might result from a lack of vitamin C?

• A. Kwashiorkor
• B. Pellagra
• C. Rickets
• D. Scurvy

Correct answer: D

Rationale: Scurvy is the correct answer. Scurvy is a condition caused by a deficiency of vitamin C in the diet. Vitamin C is essential for collagen synthesis, and its deficiency leads to symptoms such as weakness, swollen and bleeding gums, joint pain, fatigue, and easy bruising. If left untreated, scurvy can lead to more severe complications. Choices A, B, and C are incorrect. Kwashiorkor is a severe form of malnutrition due to insufficient protein intake, pellagra is caused by a deficiency of niacin (vitamin B3), and rickets results from a deficiency of vitamin D, calcium, or phosphate.

4. Which part of the brain controls balance and coordination?

• A. Cerebellum
• B. Cerebrum
• C. Medulla oblongata
• D. Brainstem

Correct answer: A

Rationale: The correct answer is the cerebellum. Located at the back of the brain, the cerebellum plays a crucial role in controlling balance, coordination, and fine motor movements. It receives information from the sensory systems, the spinal cord, and other parts of the brain to coordinate voluntary movements and maintain posture. Damage to the cerebellum can result in issues with balance, coordination, and muscle tone. The cerebrum is responsible for higher brain functions like thinking and problem-solving, the medulla oblongata controls vital autonomic functions like breathing and heartbeat, and the brainstem serves as a pathway for neural fibers traveling to and from the brain.

5. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

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