Nursing Elites

1. What initiates the process of coagulation?

• A. When blood changes from a gel to liquid form.
• B. Begins instantly after a blood vessel has been damaged.
• C. A simple single-phase response of the blood drying upon contact with the air.
• D. Also known as clotting, or the formation of fibrin.

Correct answer: B

Rationale: The correct answer is B. The process of coagulation, also known as blood clotting, begins instantly after a blood vessel has been damaged. When a blood vessel is injured, the body quickly responds by initiating a cascade of reactions to form a blood clot, which helps to stop bleeding and promote healing. Choices A, C, and D are incorrect because coagulation does not occur just when blood changes from a gel to liquid form, it is not a response of blood drying upon contact with air, and it is not simply the formation of fibrin. The primary trigger for coagulation is vascular injury.

2. What property of a substance remains constant regardless of changes in gravity?

• A. Mass
• B. Weight
• C. Volume
• D. Density

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in gravity. Weight, on the other hand, is a measure of the gravitational force acting on an object and varies with changes in gravity. Volume is the amount of space occupied by an object and can change with changes in gravity. Density is the mass of a substance per unit volume and can also change with changes in gravity if the volume changes. Therefore, the correct answer is mass as it remains the same regardless of the gravitational force acting on the object, making it an intrinsic property of the substance.

3. Which of the following organs is NOT part of the circulatory system?

• A. Kidneys
• B. Heart
• C. Blood
• D. Blood vessels

Correct answer: A

Rationale: The correct answer is A: Kidneys. The kidneys are not part of the circulatory system. While the circulatory system includes the heart, blood, and blood vessels (arteries, veins, capillaries), the kidneys belong to the urinary system. The kidneys are responsible for filtering waste products from the blood and producing urine. Choice B, the heart, is a vital organ in the circulatory system responsible for pumping blood. Choice C, blood, is a key component of the circulatory system that carries oxygen and nutrients to the body's tissues. Choice D, blood vessels (arteries, veins, capillaries), facilitate the circulation of blood throughout the body, playing a crucial role in the circulatory system.

4. 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.

5. 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.

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