Nursing Elites

1. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels primarily due to muscle contractions and breathing movements and also with the help of one-way valves within the vessels. The lymphatic system lacks a central pump like the heart; hence, it relies on the contraction of surrounding muscles and breathing movements to propel lymph fluid. One-way valves within the lymphatic vessels prevent backflow and ensure the unidirectional flow of lymph. Option A is incorrect as the lymphatic system does not rely on the pumping action of the heart. Option D is incorrect as the correct answer is the combination of muscle contractions, breathing movements, and one-way valves, not all the options provided.

2. Blood is carried away from the heart in large vessels known as which of the following?

• A. Arteries
• B. Arterioles
• C. Veins
• D. Venules

Correct answer: A

Rationale: The correct answer is A: Arteries. Arteries are the large blood vessels that carry blood away from the heart to various parts of the body. They have thick, muscular walls to withstand the high pressure generated by the heart's pumping action. Choice B, Arterioles, are smaller branches of arteries that further divide into capillaries. Choice C, Veins, carry blood back to the heart and have thinner walls compared to arteries. Choice D, Venules, are smaller veins that collect blood from capillaries and merge into larger veins.

3. What is the term for the first exposure to a specific pathogen, leading to the development of an initial immune response?

• A. Primary immune response
• B. Secondary immune response
• C. Hypersensitivity reaction
• D. Immunological tolerance

Correct answer: A

Rationale: The correct answer is A: Primary immune response. The primary immune response refers to the initial encounter with a specific pathogen, which triggers the development of the first immune response by the immune system. This response involves activating immune cells like B cells and T cells to produce antibodies and memory cells specific to that pathogen. On the other hand, the secondary immune response occurs upon re-exposure to the same pathogen and is characterized by a faster, stronger, and more effective immune response due to the presence of memory cells from the primary response. Choices B, C, and D are incorrect. The secondary immune response is the response upon re-exposure, hypersensitivity reactions are exaggerated immune responses to antigens, and immunological tolerance is the immune system's ability to recognize and tolerate self-antigens without mounting an immune response.

4. What is the function of platelets in the blood?

• A. To transport oxygen
• B. To clot blood
• C. To fight infection
• D. To transport nutrients

Correct answer: B

Rationale: Platelets play a crucial role in clotting blood to prevent excessive bleeding when injuries occur. They are responsible for initiating the coagulation process by forming clots at the site of injury, sealing the damaged blood vessels, and preventing further blood loss. Platelets do not primarily transport oxygen, fight infection, or transport nutrients. While red blood cells are responsible for carrying oxygen, white blood cells are involved in fighting infections, and nutrients are transported by plasma, platelets' main function is related to hemostasis and wound healing.

5. What generates action potentials, the all-or-nothing electrical signals traveling along neurons?

• A. Glucose
• B. Sodium and potassium ions
• C. Neurotransmitters
• D. Myelin

Correct answer: B

Rationale: Action potentials, the all-or-nothing electrical signals traveling along neurons, are generated by the movement of sodium and potassium ions across the neuronal membrane. This movement creates changes in the membrane potential, leading to the propagation of the electrical signal along the neuron. Glucose is a source of energy for neurons but is not directly involved in generating action potentials. Neurotransmitters are involved in communication between neurons but do not directly generate action potentials. Myelin is a fatty substance that insulates and speeds up the conduction of action potentials but does not generate them.

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