Nursing Elites

1. What happens to the diaphragm during inspiration?

• A. It moves upward
• B. It moves downward
• C. It expands
• D. It contracts and moves downward

Correct answer: D

Rationale: During inspiration, the diaphragm contracts and moves downward. This action increases the volume of the thoracic cavity, which lowers the air pressure inside the lungs, allowing air to flow in. The downward movement and contraction of the diaphragm create the necessary space for the lungs to expand and fill with air. Choice A, 'It moves upward,' is incorrect as the diaphragm moves downward. Choice B, 'It moves downward,' is partially correct but misses the contraction aspect. Choice C, 'It expands,' is incorrect as the diaphragm itself does not expand during inspiration. Therefore, choice D, 'It contracts and moves downward,' is the most accurate description of the diaphragm's action during inspiration.

2. What is the technical term for the involuntary muscular contractions that move food through the digestive tract?

• A. Segmentation
• B. Peristalsis
• C. Chylification
• D. Emulsification

Correct answer: B

Rationale: Peristalsis is the term used to describe the involuntary muscular contractions that move food through the digestive tract. This process involves rhythmic contractions and relaxations of the muscles in the digestive system, which help propel food from the esophagus to the stomach and through the intestines for digestion and absorption of nutrients. Segmentation refers to the mixing movements in the intestines that aid in the absorption of nutrients but is not the term for the movement of food through the digestive tract. Chylification is not a recognized term in digestive physiology. Emulsification is the process of breaking down fat globules into smaller droplets to aid in digestion, not the movement of food through the digestive tract.

3. How can you differentiate between a bacterial and viral infection based solely on symptoms?

• A. It's impossible to differentiate solely based on symptoms.
• B. Bacterial infections typically respond well to antibiotics, while viral infections don't.
• C. Bacterial infections usually cause fever, while viral infections don't.
• D. Viral infections often present with respiratory symptoms like a cough, while bacterial infections don't.

Correct answer: A

Rationale: It is impossible to differentiate between a bacterial and viral infection based solely on symptoms because many symptoms overlap between the two types of infections. Symptoms like fever, cough, and others can be present in both bacterial and viral infections. Additional diagnostic tests such as cultures or blood tests are often needed to determine the cause of the infection accurately. Relying only on symptoms can lead to misdiagnosis and inappropriate treatment. Choices B, C, and D are incorrect because they oversimplify the differentiation process and do not encompass the complexity of symptoms associated with bacterial and viral infections. While it is true that bacterial infections may respond to antibiotics and some differences in symptoms may be observed between bacterial and viral infections, these are not definitive indicators without proper diagnostic tests.

4. What is the role of the spleen in the body?

• A. To produce bile
• B. To filter blood and remove old red blood cells
• C. To produce red blood cells
• D. To store fat

Correct answer: B

Rationale: The correct answer is B. The spleen acts as a blood filter, removing old or damaged red blood cells. It also plays a role in immune responses, storing blood reserves, and helping to fight infection. The production of bile is primarily associated with the liver, not the spleen. While the bone marrow is responsible for red blood cell production, the spleen's main functions do not include this process. Storing fat is not a primary function of the spleen.

5. The adaptive immune system develops a targeted response to specific pathogens. What type of immune cell is responsible for producing antibodies?

• A. Natural killer cells
• B. Phagocytes
• C. Helper T cells
• D. B cells

Correct answer: D

Rationale: B cells are responsible for producing antibodies as part of the adaptive immune response. When activated by a specific antigen, B cells differentiate into plasma cells that secrete antibodies to target and neutralize pathogens. Natural killer cells are primarily involved in killing infected or cancerous cells, phagocytes engulf pathogens, and helper T cells assist in activating other immune cells. Therefore, the correct answer is B cells because they play a crucial role in antibody production, a key component of the adaptive immune response.

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