Nursing Elites

1. Which division of the nervous system is responsible for the 'fight or flight' response, preparing the body to respond to stressful situations?

• A. Somatic nervous system
• B. Autonomic nervous system
• C. Peripheral nervous system
• D. Central nervous system

Correct answer: B

Rationale: The autonomic nervous system is correctly identified as the division responsible for the 'fight or flight' response, which readies the body to react to stressful situations. This system regulates involuntary bodily functions, such as heart rate, pupil dilation, and adrenaline release during stress. The somatic nervous system controls voluntary movements and skeletal muscle activity, not the automatic responses seen in the 'fight or flight' reaction. The peripheral nervous system connects the central nervous system to the body's organs and limbs, facilitating communication, while the central nervous system, comprising the brain and spinal cord, serves as the primary control center of the body, integrating and processing information.

2. What is hemoglobin?

• A. an enzyme
• B. a protein
• C. a lipid
• D. an acid

Correct answer: B

Rationale: Hemoglobin is a protein found in red blood cells that plays a crucial role in transporting oxygen from the lungs to the tissues and organs in the body. It is composed of four protein subunits, each containing a heme group that binds to oxygen molecules. Choice A is incorrect as hemoglobin is not an enzyme, but rather a protein. Choice C is incorrect as hemoglobin is not a lipid, but a protein. Choice D is incorrect as hemoglobin is not an acid, but a protein.

3. 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.

4. Identify the INCORRECT function of the liver.

• A. Bile production to aid digestion.
• B. Synthesis of blood proteins, such as albumin.
• C. Storage of glucose for energy regulation.
• D. Filtration of waste products from the blood.

Correct answer: D

Rationale: A) Correct - The liver produces bile, which aids in the digestion and absorption of fats in the small intestine. B) Correct - The liver is responsible for synthesizing blood proteins, including albumin, which helps maintain osmotic pressure in the blood. C) Correct - The liver stores glucose in the form of glycogen and helps regulate blood sugar levels by releasing glucose when needed. D) Incorrect - The liver does not filter waste products from the blood. Instead, the kidneys are responsible for filtering waste products from the blood and excreting them in the form of urine.

5. Which of the following is NOT a greenhouse gas?

• A. Carbon dioxide
• B. Water vapor
• C. Nitrogen
• D. Methane

Correct answer: C

Rationale: Rationale: A) Carbon dioxide: Carbon dioxide is a greenhouse gas that is naturally present in the Earth's atmosphere and is also released through human activities such as burning fossil fuels. B) Water vapor: Water vapor is a greenhouse gas that is naturally present in the atmosphere and plays a significant role in the Earth's climate system. C) Nitrogen: Nitrogen is not considered a greenhouse gas because it does not have the ability to absorb and emit infrared radiation in the same way that greenhouse gases like carbon dioxide and methane do. D) Methane: Methane is a potent greenhouse gas that is released through natural processes such as wetland decomposition and human activities such as livestock farming and fossil fuel extraction. Therefore, the correct answer is C) Nitrogen, as it is not a greenhouse gas.

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