Nursing Elites

1. During swallowing, what is the role of the epiglottis, a small flap of cartilage located near the base of the tongue?

• A. Initiates the swallowing reflex
• B. Grinds food into smaller pieces
• C. Covers the trachea to prevent food aspiration
• D. Stores saliva for lubrication

Correct answer: C

Rationale: The epiglottis plays a crucial role during swallowing by covering the trachea to prevent food or liquid from entering the airway, which could lead to aspiration. By acting as a lid over the trachea, it ensures that food passes down the esophagus to the stomach, preventing it from entering the lungs. Choice A is incorrect as the swallowing reflex is a coordinated muscular action involving the tongue and throat muscles. Choice B is incorrect as grinding food into smaller pieces is primarily the function of the teeth and the initial stages of digestion. Choice D is incorrect as the storage of saliva for lubrication is not a function of the epiglottis, but rather involves salivary glands.

2. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

3. Which of the following is a characteristic of alkenes?

• A. They have a double bond between carbon atoms.
• B. They are saturated hydrocarbons.
• C. They contain only single bonds.
• D. They are derivatives of ammonia.

Correct answer: A

Rationale: Alkenes are hydrocarbons that contain at least one carbon-carbon double bond. This double bond is a key characteristic that distinguishes alkenes from other types of hydrocarbons. Option A correctly identifies this defining feature of alkenes, making it the correct answer. Choices B, C, and D are incorrect. Choice B is incorrect because alkenes are unsaturated hydrocarbons due to the presence of double bonds. Choice C is incorrect as alkenes do not contain only single bonds; they have at least one double bond. Choice D is incorrect because alkenes are not derivatives of ammonia; they are a distinct class of organic compounds with carbon-carbon double bonds.

4. What is the body's primary defense against pathogens?

• A. Phagocytes
• B. Antibodies
• C. Memory B cells
• D. T lymphocytes

Correct answer: A

Rationale: The correct answer is A: Phagocytes. Phagocytes are the body's first line of defense against pathogens. They are innate immune cells that engulf and digest foreign particles like bacteria and viruses, preventing infections. Phagocytes act as the initial barrier to invading pathogens and are part of the innate immune response. Choice B, Antibodies, are produced by B cells in the adaptive immune response. Choice C, Memory B cells, are also part of the adaptive immune response and provide a faster and stronger response upon re-exposure to pathogens. Choice D, T lymphocytes, are part of the adaptive immune response, particularly involved in cell-mediated immunity.

5. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

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