Nursing Elites

1. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases carbon dioxide-rich air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: A

Rationale: Exhalation (expiration) involves active muscle contraction, specifically the diaphragm and intercostal muscles, to decrease the volume of the thoracic cavity and push air out of the lungs. In contrast, inhalation (inspiration) is a passive process where the diaphragm and external intercostal muscles contract to increase the thoracic cavity volume, allowing air to flow into the lungs. Choice B is incorrect as exhalation removes carbon dioxide-rich air and inhalation brings in oxygen-rich air. Choice C is incorrect because both exhalation and inhalation can occur through the nose or mouth. Choice D is inaccurate as inhalation humidifies and warms the air, while exhalation cools and dries it.

2. 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.

3. Where is the energy for most cellular processes produced?

• A. Nucleus
• B. Cytoplasm
• C. Mitochondria
• D. Ribosomes

Correct answer: C

Rationale: The correct answer is C: Mitochondria. The energy for most cellular processes is produced in the mitochondria through the process of cellular respiration. Mitochondria are often referred to as the powerhouse of the cell because they generate ATP, the energy currency of the cell. This process involves the breakdown of glucose molecules to produce ATP, which fuels various cellular activities. Choices A, B, and D are incorrect. The nucleus is responsible for storing genetic material and controlling cell activities, not energy production. The cytoplasm is where various cellular activities take place, but it is not the primary site for energy production. Ribosomes are involved in protein synthesis and do not generate energy for cellular processes.

4. Which of the following antibodies can cross the placenta?

• A. IgA
• B. IgD
• C. IgG
• D. IgM

Correct answer: C

Rationale: The correct answer is IgG. IgG is the only antibody that can cross the placenta, providing passive immunity to the developing fetus. IgA, IgD, and IgM do not cross the placenta. IgA is mainly found in mucosal secretions, IgD is involved in the activation of B cells, and IgM is the first antibody produced in response to an infection, but it does not cross the placental barrier.

5. Which hormone, produced by the ovaries, is responsible for the development of the uterine lining during the menstrual cycle and supports early pregnancy?

• A. Estrogen
• B. Progesterone
• C. Testosterone
• D. Prolactin

Correct answer: B

Rationale: Progesterone, produced by the ovaries, is responsible for the development of the uterine lining during the menstrual cycle and supports early pregnancy. While estrogen also plays a crucial role in the menstrual cycle, progesterone is specifically known for its role in preparing the uterus for pregnancy and maintaining the uterine lining. Testosterone is primarily a male sex hormone and not directly involved in these processes. Prolactin is a hormone that is mainly associated with milk production and not related to the development of the uterine lining or early pregnancy.

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