Nursing Elites

1. Where does gas exchange take place in the lungs?

• A. Bronchi
• B. Trachea
• C. Alveoli
• D. Pleura

Correct answer: C

Rationale: Gas exchange in the lungs occurs in the alveoli. Alveoli are tiny air sacs where oxygen from inhaled air diffuses into the bloodstream, and carbon dioxide from the blood diffuses into the alveoli to be exhaled. The bronchi are the main airways that branch off from the trachea, which is the windpipe connecting the larynx to the bronchi. The pleura is a membrane surrounding the lungs and lining the chest cavity, providing protection and lubrication for the lungs but not directly involved in gas exchange.

2. Where is keratin found?

• A. It is a protein-digesting enzyme released by the stomach.
• B. It is released in the neuromuscular junction.
• C. It is a protein found in the hypodermis.
• D. It is a protein found in hair.

Correct answer: D

Rationale: Keratin is a structural protein found in hair, skin, and nails, providing strength and protection. It forms the main structural component of hair, making choice D the correct answer. Choices A, B, and C are incorrect because keratin is not an enzyme released by the stomach, not released in the neuromuscular junction, and not found in the hypodermis. Remember that keratin is primarily associated with structural support in epithelial cells.

3. Deuterium, a stable isotope of hydrogen, has a nucleus containing:

• A. A single proton
• B. A proton and a neutron
• C. Two protons and an electron
• D. Two neutrons

Correct answer: B

Rationale: Deuterium, as an isotope of hydrogen, has an atomic number of 1 and a mass number of 2. The nucleus of deuterium contains one proton (as in all hydrogen atoms) and one neutron, totaling 2 nucleons in the nucleus. Therefore, the correct answer is that deuterium's nucleus contains a proton and a neutron. Choices A, C, and D are incorrect. Deuterium is not just a single proton (A), doesn't have two protons and an electron (C), and doesn't contain two neutrons (D). The correct composition of deuterium's nucleus is one proton and one neutron.

4. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

5. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

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