Nursing Elites

1. What is the most useful application of ultrasonography for diagnostic examination?

• A. dense organs, such as bones.
• B. air-filled organs, such as lungs.
• C. soft internal structures, such as fetuses.
• D. microscopic structures.

Correct answer: C

Rationale: Ultrasonography is a medical imaging technique that uses sound waves to visualize internal body structures. It is particularly effective for examining soft tissues like organs, blood vessels, and fetuses. Choice A is incorrect because bones are better visualized using techniques like X-rays. Choice B is incorrect as air-filled organs like lungs are not well visualized with ultrasound due to air being a poor conductor of sound waves. Choice D is incorrect since ultrasonography cannot visualize structures at a microscopic level, as it is used for larger internal structures.

2. Blood cells are produced in the organs of the _______ system.

• A. endocrine
• B. skeletal
• C. superior to
• D. inferior to

Correct answer: C

Rationale: Blood cells are produced in the organs of the hematopoietic system. The correct answer is 'superior to' as this refers to the location of the organs responsible for blood cell production, typically bone marrow found in bones such as the vertebrae, ribs, and skull. 'Endocrine' (Choice A) refers to a different system responsible for hormone production. 'Skeletal' (Choice B) relates to bones but not specifically to the production of blood cells. Choices C and D, 'superior to' and 'inferior to,' do not make sense in the context of blood cell production and are incorrect.

3. Which of the following substances is involved in the destruction of ingested pathogens?

• A. lymphatic fluid
• B. stomach acid
• C. bicarbonate
• D. lipase

Correct answer: B

Rationale: The correct answer is stomach acid. Stomach acid, also known as gastric acid, plays a crucial role in destroying ingested pathogens due to its high acidity. The low pH of stomach acid helps to kill bacteria and other pathogens that may be present in the food we consume. Lymphatic fluid is involved in immune function and fat absorption, not pathogen destruction. Bicarbonate is a base that neutralizes stomach acid to prevent damage to the stomach lining. Lipase is an enzyme that aids in the digestion of fats but is not involved in pathogen destruction.

4. Which part of the nephron is closest to the collecting duct?

• A. Distal convoluted tubule (DCT)
• B. Bowman's Capsule
• C. Afferent Arteriole
• D. Proximal Convoluted Tubule (PCT)

Correct answer: A

Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.

5. Positive feedback mechanisms usually result in

• A. changes returning values away from a set point.
• B. stable conditions around a set point.
• C. unstable conditions.
• D. long-term changes.

Correct answer: C

Rationale: Positive feedback mechanisms usually result in unstable conditions. In a positive feedback loop, the output enhances or amplifies the changes that are occurring, leading to a deviation from the initial set point. Therefore, positive feedback does not bring values back towards the set point (Choice A). Choice B is incorrect because positive feedback does not promote stability around a set point. Choice D is also incorrect as positive feedback mechanisms typically do not lead to long-term changes; instead, they intensify the initial change, causing instability.

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