Nursing Elites

1. What is the protective fluid surrounding the brain and spinal cord called?

• A. Blood
• B. Cerebrospinal fluid
• C. Plasma
• D. Myelin

Correct answer: B

Rationale: Cerebrospinal fluid is the protective fluid that surrounds the brain and spinal cord. It acts as a cushion to protect these vital organs from injury and provides nutrients to the nervous system. Blood, plasma, and myelin are not the fluids specifically surrounding the brain and spinal cord. Blood is found within blood vessels, plasma is the liquid component of blood, and myelin is a fatty substance that forms a protective sheath around nerve fibers.

2. The adrenal cortex produces a group of steroid hormones called corticosteroids. What is a MAJOR function of corticosteroids?

• A. Regulate insulin sensitivity and blood sugar levels
• B. Control blood pressure and electrolyte balance
• C. Stimulate the immune system and inflammatory response
• D. Promote growth and development during puberty

Correct answer: B

Rationale: Corticosteroids, produced by the adrenal cortex, primarily function to control blood pressure and electrolyte balance. One of the key corticosteroids, aldosterone, plays a crucial role in regulating sodium and potassium levels in the body. This regulation is essential for maintaining blood pressure and electrolyte balance. Choices A, C, and D are incorrect because corticosteroids do not primarily regulate insulin sensitivity and blood sugar levels, stimulate the immune system and inflammatory response, or promote growth and development during puberty. While corticosteroids can have effects on insulin sensitivity, immune response, and growth, their major role is in maintaining blood pressure and electrolyte balance.

3. Which of the following is not part of the digestive system?

• A. Esophagus
• B. Liver
• C. Stomach
• D. Pancreas

Correct answer: D

Rationale: The correct answer is 'D: Pancreas.' While the pancreas contributes to digestion by secreting enzymes, it is not part of the main digestive tract. The esophagus, liver, and stomach are integral components of the digestive system. The esophagus helps in the transport of food to the stomach, the stomach aids in food breakdown, the liver produces bile for fat digestion, and the pancreas secretes digestive enzymes. Therefore, the pancreas is the correct answer as it is not part of the primary digestive tract but supports digestion through enzyme secretion.

4. Which condition is characterized by inflammation of the inner lining of the stomach?

• A. Gastroesophageal reflux disease (GERD)
• B. Diverticulitis
• C. Ulcerative colitis
• D. Gastritis

Correct answer: D

Rationale: Gastritis is the correct answer as it is characterized by inflammation of the inner lining of the stomach. This inflammation can be caused by various factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), infections, or autoimmune diseases. Symptoms of gastritis may include abdominal pain, nausea, vomiting, and loss of appetite. Gastroesophageal reflux disease (GERD) is incorrect because it involves the backflow of stomach acid into the esophagus, leading to symptoms like heartburn and regurgitation, not inflammation of the stomach lining. Diverticulitis refers to inflammation or infection of small pouches that can form in the walls of the colon, not the stomach. Ulcerative colitis is a type of inflammatory bowel disease characterized by inflammation and ulcers in the colon and rectum, not the stomach lining.

5. Which of the following best defines the term amphoteric?

• A. A substance that conducts electricity due to ionization when dissolved in a solvent
• B. A substance that can act as an acid or a base depending on the properties of the solute
• C. A substance that, according to the Brønsted-Lowry Acid-Base Theory, is a proton-donor
• D. A substance that donates its proton and forms its conjugate base in a neutralization reaction

Correct answer: B

Rationale: An amphoteric substance can act as both an acid or a base depending on the environment. It can donate a proton (act as an acid) or accept a proton (act as a base), showing versatility in its behavior. Choice A is incorrect as it describes an electrolyte rather than an amphoteric substance. Choice C is incorrect as it defines an acid based on the Brønsted-Lowry Acid-Base Theory. Choice D is incorrect as it specifically refers to a substance donating a proton in a neutralization reaction, not capturing the dual behavior of an amphoteric substance.

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