Nursing Elites

1. What are the primary differences between systemic and pulmonary circulation?

• A. Systemic circulation is shorter and has lower blood pressure
• B. Pulmonary circulation is shorter and has higher blood pressure
• C. Systemic circulation is longer and has higher blood pressure
• D. Systemic circulation is shorter but has higher blood pressure

Correct answer: C

Rationale: The correct answer is C. Systemic circulation is longer as it involves carrying oxygenated blood throughout the body, requiring higher blood pressure. Pulmonary circulation is shorter and involves the flow of blood only through the lungs, hence having lower blood pressure. Therefore, systemic circulation is longer and has higher blood pressure compared to pulmonary circulation. Choice A is incorrect as systemic circulation is longer, not shorter, and has higher blood pressure. Choice B is incorrect as pulmonary circulation has lower blood pressure, not higher. Choice D is incorrect as systemic circulation is longer, not shorter, despite having higher blood pressure.

2. Which of the following systems does not include a transportation network throughout the body?

• A. Cardiovascular system
• B. Endocrine system
• C. Immune system
• D. Nervous system

Correct answer: B

Rationale: The endocrine system does not include a transportation network throughout the body. While the cardiovascular system transports blood, oxygen, and nutrients, the immune system has lymphatic vessels for immune cell transportation, and the nervous system transmits signals via neurons. In contrast, the endocrine system coordinates bodily functions by releasing hormones directly into the bloodstream, which then act on target organs or tissues. This delivery mechanism is different from the continuous transportation networks found in the other systems listed, making the endocrine system the correct choice for this question.

3. The tonsils and adenoids, located in the throat, are part of the:

• A. Lymphatic system
• B. Endocrine system
• C. Respiratory system
• D. Digestive system

Correct answer: A

Rationale: The tonsils and adenoids are part of the lymphatic system, not the respiratory, endocrine, or digestive systems. The lymphatic system plays a crucial role in the body's defense against infections and diseases by producing white blood cells and lymphatic fluid, which help in filtering harmful substances. The respiratory system is primarily responsible for breathing and gas exchange in the body, the endocrine system regulates hormones, and the digestive system is involved in the breakdown and absorption of nutrients from food. Therefore, the correct answer is the lymphatic system.

4. What is the outermost layer of the dermis, rich in collagen and elastin fibers that provide elasticity to the skin?

• A. Papillary layer
• B. Reticular layer
• C. Stratum basale
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is the reticular layer. This layer is the outermost layer of the dermis that contains abundant collagen and elastin fibers, providing elasticity to the skin. The papillary layer is located beneath the epidermis and is responsible for supplying nutrients to the epidermis, not the outermost layer. The stratum basale is the deepest layer of the epidermis where new skin cells are produced, not part of the dermis. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells, not a layer of the dermis.

5. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

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