Nursing Elites

1. Where is the scapula in relation to the olecranon?

• A. Distal
• B. Lateral
• C. Ventral
• D. Superior

Correct answer: D

Rationale: The correct answer is D: 'Superior.' The scapula is located superior to the olecranon. In anatomical terms, 'superior' refers to a position above or higher than a reference point. 'Distal' is a term used to describe a position farther away from the point of attachment or origin. 'Lateral' refers to a position further away from the midline of the body. 'Ventral' refers to the front or anterior side of the body. In this case, the scapula being superior to the olecranon means it is positioned above the olecranon bone.

2. What term describes a series of muscle contractions that transports food down the digestive tract in a wave-like fashion?

• A. digestion
• B. deglutition
• C. defecation
• D. peristalsis

Correct answer: D

Rationale: Peristalsis is the correct term for the series of muscle contractions that move food down the digestive tract in a wave-like manner. This process helps propel food through the esophagus, stomach, and intestines, facilitating digestion and nutrient absorption. Digestion (Choice A) refers to the breakdown of food into smaller components, deglutition (Choice B) is the act of swallowing, and defecation (Choice C) is the elimination of waste from the body. Therefore, peristalsis is the most appropriate term to describe the described muscle contractions in the digestive system.

3. What is the main component of bile, a substance that aids in fat digestion?

• A. Proteins
• B. Carbohydrates
• C. Bile salts
• D. Vitamins

Correct answer: C

Rationale: Bile is a digestive fluid produced by the liver and stored in the gallbladder. Bile salts are the main component of bile that aid in the digestion and absorption of fats in the small intestine. Bile salts help emulsify fats, breaking them down into smaller droplets that can be more easily digested by enzymes. Proteins, carbohydrates, and vitamins are not the main components of bile and do not play a significant role in fat digestion. Therefore, the correct answer is 'Bile salts.' Choices A, B, and D are incorrect as they are not the main components of bile and do not contribute to fat digestion.

4. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Kwashiorkor is a severe acute malnutrition condition resulting from insufficient dietary protein intake. It is characterized by symptoms such as edema, skin lesions, an enlarged liver with fatty infiltrates, and notably, muscle wasting. Muscle wasting occurs as the body breaks down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is associated with vitamin A deficiency, scurvy (option C) results from a lack of vitamin C, and rickets (option D) is caused by a deficiency in vitamin D, calcium, or phosphate.

5. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

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