Nursing Elites

1. What are the four main regions of the stomach?

• A. Pylorus, cecum, fundus, body
• B. Cardia, fundus, body, pylorus
• C. Duodenum, jejunum, ileum, cecum
• D. Cardia, fundus, body, ileum

Correct answer: B

Rationale: The correct answer is B: Cardia, fundus, body, pylorus. The four main regions of the stomach are the cardia (where food enters), fundus (upper part), body (largest part), and pylorus (exit part to the small intestine). These regions play specific roles in the digestion process. Choice A is incorrect because the cecum is part of the large intestine, not the stomach. Choice C lists parts of the small intestine, not the stomach. Choice D is incorrect as the ileum is the last part of the small intestine, not a region of the stomach.

2. Which of the following terms refers to the process of breaking large molecules into smaller molecules to provide energy?

• A. Metabolism
• B. Bioenergetics
• C. Anabolism
• D. Catabolism

Correct answer: D

Rationale: The correct answer is 'D: Catabolism.' Catabolism specifically involves breaking down large molecules into smaller ones to release energy. It is the opposite of anabolism, which is the process of building larger molecules from smaller ones. 'Metabolism' (choice A) is a broader term that encompasses all chemical processes in an organism, including anabolism and catabolism. 'Bioenergetics' (choice B) refers to the flow and transformation of energy in a biological system, not specifically the breakdown of molecules for energy.

3. What is the function of the pleurae?

• A. To compartmentalize and lubricate the lungs
• B. To facilitate the flow of air
• C. To produce mucus
• D. To serve as the passageway for air

Correct answer: A

Rationale: The pleurae play a crucial role in compartmentalizing and lubricating the lungs. The pleura is a double-layered membrane that surrounds the lungs and lines the chest cavity. This double-layered structure reduces friction between the lungs and the chest wall during breathing movements, allowing smooth expansion and contraction of the lungs. Options B, C, and D are incorrect. Option B, 'To facilitate the flow of air,' is incorrect because while the pleurae are involved in the respiratory process, their primary function is not to directly facilitate the flow of air. Option C, 'To produce mucus,' is incorrect as the production of mucus is not a primary function of the pleurae. Option D, 'To serve as the passageway for air,' is incorrect as the passageway for air refers to the air passages like the trachea and bronchi, not the pleurae. Therefore, option A is correct as it accurately describes the function of the pleurae.

4. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

5. 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.

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