Nursing Elites

1. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

2. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

3. What is the difference between a real image and a virtual image formed by a lens?

• A. Real images can be projected onto a screen, while virtual images cannot.
• B. Real images are always upright, while virtual images can be inverted.
• C. Real images are formed by converging lenses, while virtual images are formed by diverging lenses.
• D. All of the above are true.

Correct answer: A

Rationale: The correct answer is A. Real images can be projected onto a screen because they are formed by the actual convergence of light rays, while virtual images cannot be projected onto a screen as they appear to diverge from a point behind the lens. Real and virtual images do not have a consistent orientation (upright or inverted), so option B is incorrect. Real images are formed by both converging and diverging lenses depending on the specific scenario, so option C is not a definitive distinction. Option D is incorrect as not all the statements are true. Therefore, the only accurate general distinction between real and virtual images is that real images can be projected onto a screen, while virtual images cannot.

4. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

5. Glial cells support and protect neurons within the central and peripheral nervous system. What are they called?

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

Correct answer: A

Rationale: Astrocytes are a type of glial cell that provide support and protection for neurons in both the central and peripheral nervous systems. While the term 'Neuroglia' is often used to refer to glial cells collectively, in this context, the question specifically asks for the name of the cells, making 'Astrocytes' the correct answer. Choice B, 'Neuroglia,' is a general term for all glial cells, not a specific type. Choices C and D, 'Oligodendrocytes' and 'Schwann cells,' are also types of glial cells but are not the primary cells responsible for supporting and protecting neurons as described in the question.

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