Nursing Elites

1. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

2. What are the four main types of macromolecules that are essential for life?

• A. Carbohydrates, lipids, proteins, and nucleic acids
• B. Carbohydrates, proteins, fats, and vitamins
• C. Minerals, vitamins, proteins, and fats
• D. Carbohydrates, lipids, proteins, and hormones

Correct answer: A

Rationale: The correct answer is A: Carbohydrates, lipids, proteins, and nucleic acids. These four types of macromolecules are essential for life as they serve crucial roles in various cellular processes. Carbohydrates are the primary energy source for cells and provide structural support. Lipids function as energy storage molecules and are essential components of cell membranes. Proteins have diverse functions in cellular processes, acting as enzymes, structural components, and more. Nucleic acids, like DNA and RNA, carry genetic information and are crucial for protein synthesis. Choices B, C, and D are incorrect because they include elements like fats, vitamins, minerals, and hormones, which are not the main types of macromolecules essential for life.

3. What does the T wave on an ECG correspond to?

• A. Atrial depolarization
• B. Ventricular depolarization
• C. Atrial repolarization
• D. Ventricular repolarization

Correct answer: D

Rationale: The T wave on an ECG corresponds to ventricular repolarization. Following ventricular depolarization, which is represented by the QRS complex, the ventricles undergo repolarization during the T wave. This phase signifies the recovery of ventricular muscle cells as they prepare for the subsequent depolarization cycle. Choices A, B, and C are incorrect because the T wave specifically reflects the repolarization of the ventricles, not the atria or their respective depolarization or repolarization phases.

4. What is the Aufbau principle?

• A. The principle that electrons fill orbitals in order of increasing energy.
• B. The principle that electrons cannot occupy the same orbital with the same spin.
• C. The principle that the maximum number of electrons in an orbital is 2n^2, where n is the energy level of the orbital.
• D. The principle that the attractive force between an electron and the nucleus is inversely proportional to the distance between them.

Correct answer: A

Rationale: The Aufbau principle states that electrons fill orbitals in order of increasing energy. This principle helps to explain the electron configuration of atoms and how electrons are distributed within the energy levels and sublevels of an atom. By following the Aufbau principle, one can determine the electron configuration of an atom by sequentially adding electrons to orbitals in order of their increasing energy levels, starting with the lowest energy level. Choice B is incorrect as it describes the Pauli Exclusion Principle, which states that no two electrons in an atom can have the same four quantum numbers. Choice C is incorrect as it refers to the formula for calculating the maximum number of electrons that can occupy an energy level. Choice D is incorrect as it relates to Coulomb's law, which describes the electrostatic interaction between charged particles.

5. What is the body's primary defense against pathogens?

• A. Phagocytes
• B. Antibodies
• C. Memory B cells
• D. T lymphocytes

Correct answer: A

Rationale: The correct answer is A: Phagocytes. Phagocytes are the body's first line of defense against pathogens. They are innate immune cells that engulf and digest foreign particles like bacteria and viruses, preventing infections. Phagocytes act as the initial barrier to invading pathogens and are part of the innate immune response. Choice B, Antibodies, are produced by B cells in the adaptive immune response. Choice C, Memory B cells, are also part of the adaptive immune response and provide a faster and stronger response upon re-exposure to pathogens. Choice D, T lymphocytes, are part of the adaptive immune response, particularly involved in cell-mediated immunity.

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