Nursing Elites

1. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

2. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

3. The body's first line of defense against pathogens is the innate immune system. Which of the following is NOT a component of the innate immune system?

• A. Physical barriers like skin and mucous membranes
• B. Phagocytes that engulf and destroy pathogens
• C. Inflammatory response to isolate and contain infection
• D. Production of antibodies specific to a particular pathogen

Correct answer: D

Rationale: The production of antibodies specific to a particular pathogen is a function of the adaptive immune system, not the innate immune system. The innate immune system provides immediate, non-specific defense mechanisms against pathogens, including physical barriers, phagocytes, and inflammatory responses. Choices A, B, and C are all correct components of the innate immune system. Physical barriers like skin and mucous membranes act as the first line of defense, preventing pathogens from entering the body. Phagocytes are specialized cells that engulf and destroy pathogens, while the inflammatory response helps isolate and contain infections to prevent their spread.

4. Which part of the brain controls breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Thalamus
• D. Cerebellum

Correct answer: B

Rationale: The medulla oblongata is the correct answer because it is responsible for controlling involuntary functions such as breathing and heart rate. The cerebrum (Choice A) is primarily associated with higher brain functions like thinking and voluntary movements, not with regulating basic bodily functions like breathing and heart rate. The thalamus (Choice C) serves as a relay station for sensory information but is not directly involved in controlling breathing and heart rate. The cerebellum (Choice D) plays a role in coordination and balance, not in regulating respiratory and cardiac functions.

5. T cells in the immune system can be categorized into different types. What type of T cell directly kills infected body cells?

• A. Helper T cells
• B. Cytotoxic T cells
• C. Regulatory T cells
• D. Memory T cells

Correct answer: B

Rationale: Cytotoxic T cells directly kill infected body cells by recognizing specific antigens on the surface of infected cells and releasing cytotoxic substances to induce cell death, eliminating the infected cells. Helper T cells assist in coordinating the immune response, regulatory T cells help maintain immune tolerance, and memory T cells mount a faster and stronger response upon re-exposure to a previously encountered antigen. Therefore, the correct answer is cytotoxic T cells as they play a crucial role in directly targeting and destroying infected cells.

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