Nursing Elites

1. 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.

2. When an atom gains or loses electrons, it becomes a(n):

• A. Molecule
• B. Isotope
• C. Ion
• D. Compound

Correct answer: C

Rationale: When an atom gains or loses electrons, it becomes an ion. Gaining or losing electrons alters the atom's electron count and charge, creating a positively or negatively charged ion. A molecule is formed when two or more atoms are chemically bonded. An isotope is a variation of an element with a different number of neutrons. A compound consists of two or more different elements chemically bonded together.

3. Which condition is characterized by inflammation of the inner lining of the stomach?

• A. Gastroesophageal reflux disease (GERD)
• B. Diverticulitis
• C. Ulcerative colitis
• D. Gastritis

Correct answer: D

Rationale: Gastritis is the correct answer as it is characterized by inflammation of the inner lining of the stomach. This inflammation can be caused by various factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), infections, or autoimmune diseases. Symptoms of gastritis may include abdominal pain, nausea, vomiting, and loss of appetite. Gastroesophageal reflux disease (GERD) is incorrect because it involves the backflow of stomach acid into the esophagus, leading to symptoms like heartburn and regurgitation, not inflammation of the stomach lining. Diverticulitis refers to inflammation or infection of small pouches that can form in the walls of the colon, not the stomach. Ulcerative colitis is a type of inflammatory bowel disease characterized by inflammation and ulcers in the colon and rectum, not the stomach lining.

4. Which cells myelinate neurons in the CNS?

• A. Schwann cells
• B. Astrocytes
• C. Microglia
• D. Oligodendrocytes

Correct answer: D

Rationale: The correct answer is D, Oligodendrocytes. Oligodendrocytes are responsible for myelinating neurons in the central nervous system (CNS). Schwann cells, found in the peripheral nervous system, are responsible for myelinating neurons there. Astrocytes support and maintain the neuronal environment, while microglia function as immune cells in the CNS, participating in immune responses and cellular debris clearance. Therefore, choices A, B, and C are incorrect for myelination of CNS neurons.

5. Which of the following organs functions as both an endocrine and exocrine gland?

• A. The kidney
• B. The spleen
• C. The pancreas
• D. The stomach

Correct answer: C

Rationale: The pancreas is the correct answer as it functions as both an endocrine and exocrine gland. The endocrine function involves secreting insulin and glucagon into the bloodstream to regulate blood sugar levels, while the exocrine function involves releasing digestive enzymes into the small intestine to aid in digestion. The kidney (Choice A) primarily functions in the excretory system by filtering blood and producing urine. The spleen (Choice B) is involved in the immune system and blood storage but does not have endocrine or exocrine functions. The stomach (Choice D) is mainly an organ of the digestive system, secreting gastric juices to aid in digestion, but it does not have a dual endocrine and exocrine function like the pancreas.

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