Nursing Elites

1. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

2. What structures provide comprehensive protection for the brain?

• A. Skull
• B. Meninges (Membranes)
• C. Cerebrospinal fluid
• D. All of the above

Correct answer: D

Rationale: The brain is a vital organ that requires robust protection, which is provided by a combination of structures. The skull acts as a hard, protective covering for the brain, shielding it from external trauma and injury. The meninges encompass three layers of membranes (dura mater, arachnoid mater, and pia mater) that envelop the brain and spinal cord, offering additional protection and cushioning. Cerebrospinal fluid, a clear, colorless fluid surrounding the brain and spinal cord, acts as a shock absorber and provides nutrients to the central nervous system. The combined function of the skull, meninges, and cerebrospinal fluid ensures comprehensive protection for the brain, making option D, 'All of the above,' the correct answer. Choices A, B, and C are not individually sufficient to provide comprehensive protection, but together, they form a multi-layered defense system for the brain.

3. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

4. Which of the following stimulates adaptive immunity?

• A. Peptides
• B. Phagocytes
• C. Prions
• D. Platelets

Correct answer: C

Rationale: The correct answer is C: Prions. Prions are infectious proteins that can stimulate an adaptive immune response by triggering the production of specific antibodies. Peptides are fragments of proteins and can be processed and presented by antigen-presenting cells to activate T cells, which play a role in adaptive immunity. Phagocytes, such as macrophages, are part of the innate immune system and are involved in engulfing and destroying pathogens, but they do not directly stimulate adaptive immunity. Platelets are primarily involved in blood clotting and are not directly related to stimulating adaptive immunity.

5. Which of the following statements regarding the working of the heart is not correct?

• A. The atria contract, and the valves open to allow blood into the ventricles.
• B. The heartbeat begins when the heart muscles relax, and blood flows into the atria.
• C. The valves close to stop blood from flowing backward.
• D. The ventricles contract, forcing blood to leave the heart.

Correct answer: B

Rationale: The correct answer is B because the heartbeat actually begins when the heart muscles relax, allowing the chambers to fill with blood. The contraction phase follows, which propels blood out of the heart. The other statements are accurate in describing the normal sequence of events in the heart's functioning: the atria contract to push blood into the ventricles, the valves close to prevent backflow of blood, and the ventricles contract to pump blood out of the heart.

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