Nursing Elites

1. The small intestine is where most of the chemical digestion and nutrient absorption occur. What is the finger-like projection in the small intestine that increases its surface area for absorption?

• A. Rugae
• B. Villi
• C. Microvilli
• D. All of the above

Correct answer: C

Rationale: Microvilli are the finger-like projections in the small intestine that increase its surface area for absorption. Villi are also present in the small intestine and help increase the surface area for absorption. However, microvilli are smaller structures found on the surface of villi, further increasing the surface area available for nutrient absorption. Rugae are folds in the stomach that allow for expansion when food is consumed and are not found in the small intestine. Therefore, the correct answer is C) Microvilli. Villi and microvilli are specific to the small intestine, playing vital roles in nutrient absorption, while rugae are specific to the stomach's structure and function, serving a different purpose than increasing surface area for absorption.

2. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

3. What is the condition called when someone experiences a temporary loss of consciousness due to a lack of blood flow to the brain?

• A. Stroke
• B. Epilepsy
• C. Syncope (fainting)
• D. Multiple sclerosis

Correct answer: C

Rationale: Syncope, also known as fainting, is a temporary loss of consciousness caused by a lack of blood flow to the brain. This can occur due to various reasons such as low blood pressure, dehydration, or sudden emotional stress. Strokes involve a disruption of blood flow to the brain resulting in brain cell damage. Epilepsy is a neurological disorder characterized by recurrent seizures. Multiple sclerosis is a chronic autoimmune disease that affects the central nervous system. In this case, the correct answer is 'Syncope' as it directly relates to the temporary loss of consciousness due to decreased blood flow to the brain, distinguishing it from the other options which involve different conditions affecting the nervous system.

4. Which cells myelinate neurons in the PNS?

• A. Oligodendrocytes
• B. Astrocytes
• C. Schwann cells
• D. Microglia

Correct answer: C

Rationale: Schwann cells are the glial cells responsible for myelinating neurons in the peripheral nervous system (PNS). They form the myelin sheath around axons, which helps in the conduction of electrical impulses. Oligodendrocytes, on the other hand, myelinate neurons in the central nervous system (CNS). Astrocytes primarily provide support for neuronal function by regulating the chemical environment around neurons and maintaining the blood-brain barrier. Microglia are part of the immune response in the CNS, where they act as the resident macrophages, playing a role in immune surveillance and response to injury or disease. Therefore, the correct answer is Schwann cells (Choice C) as they specifically myelinate neurons in the PNS, differentiating them from the other cell types mentioned in the choices.

5. Which of the following are the blood vessels that transport blood away from the heart?

• A. arteries
• B. capillaries
• C. venules
• D. veins

Correct answer: A

Rationale: Arteries are blood vessels that carry oxygen-rich blood away from the heart to various parts of the body. Therefore, they are the vessels that transport blood away from the heart. Veins, on the other hand, transport blood back to the heart. Capillaries are tiny blood vessels where the exchange of nutrients and waste products occurs between blood and tissues, not vessels that transport blood to the heart. Venules are small veins that collect blood from capillaries and connect them to larger veins, rather than transport blood to the heart.

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