Nursing Elites

1. Which of the following are functions of the urinary system?

• A. I, II, and III
• B. II and III
• C. II, III, and IV
• D. All of the above

Correct answer: D

Rationale: The corrected answer is D, 'All of the above.' The urinary system performs multiple essential functions to maintain the body's internal environment. Synthesizing calcitriol and secreting erythropoietin are crucial roles of the kidneys. Regulating the concentrations of sodium, potassium, chloride, calcium, and other ions helps in maintaining the electrolyte balance. Reabsorbing or secreting hydrogen ions and bicarbonate is vital for managing the body's acid-base balance. Furthermore, the urinary system is involved in detecting reductions in blood volume and pressure, aiding in the maintenance of blood pressure levels and fluid balance in the body.

2. What property of a wave determines its pitch in sound waves?

• A. Amplitude
• B. Frequency
• C. Wavelength
• D. Speed

Correct answer: B

Rationale: The pitch of a sound wave is determined by its frequency. Frequency is the number of cycles of a wave that occur in a unit of time, usually measured in hertz (Hz). Higher frequencies correspond to higher pitches, while lower frequencies correspond to lower pitches. Amplitude refers to the height of a wave and is related to the loudness of the sound. Wavelength is the distance between two consecutive points in a wave that are in phase, and speed is the rate at which a wave travels through a medium. Therefore, the correct answer is frequency as it directly correlates with the pitch of a sound wave.

3. After exposure to a pathogen, the immune system develops memory. What type of immune cell is responsible for this immunological memory?

• A. B cells
• B. T cells (specifically memory T cells)
• C. Phagocytes
• D. Natural killer cells

Correct answer: A

Rationale: B cells are responsible for immunological memory. Memory B cells, a type of B cells, retain a 'memory' of specific pathogens, enabling them to rapidly produce antibodies upon re-exposure. This rapid antibody production facilitates a quicker and more effective immune response. Although memory T cells also contribute to immunological memory by mounting a swift and robust immune response upon re-exposure to the pathogen, it is primarily memory B cells that play a crucial role in producing antibodies. Phagocytes are important immune cells involved in engulfing and digesting pathogens, while natural killer cells are primarily responsible for recognizing and eliminating abnormal cells, such as virus-infected cells or tumor cells. However, when it comes to immunological memory and antibody production, B cells are key players.

4. Which of the following hormones is responsible for regulating blood sugar levels?

• A. Insulin
• B. Adrenaline
• C. Cortisol
• D. Melatonin

Correct answer: A

Rationale: Insulin is the hormone responsible for regulating blood sugar levels by facilitating the uptake of glucose into cells. Insulin helps lower blood sugar levels by promoting the storage of glucose in the liver, muscle, and fat cells. Adrenaline, cortisol, and melatonin do not directly regulate blood sugar levels. Adrenaline is involved in the fight-or-flight response, cortisol is a stress hormone that affects metabolism, immune response, and anti-inflammatory actions, while melatonin regulates sleep-wake cycles.

5. What is the path of oxygenated blood flow in our body?

• A. From the heart directly to the brain
• B. From the lungs to the left atrium, then to the left ventricle, and out through the aorta
• C. From the body to the right atrium to the lungs
• D. From the left atrium directly to the aorta

Correct answer: B

Rationale: Oxygenated blood flows from the lungs to the left atrium, then to the left ventricle, and is pumped out through the aorta to the body. This pathway ensures efficient oxygen delivery to the body's tissues and organs. Choice A is incorrect as oxygenated blood does not flow directly from the heart to the brain. Choice C is incorrect as it suggests a route from the body to the right atrium and then to the lungs, which is the pathway for deoxygenated blood. Choice D is incorrect as it describes a direct pathway from the left atrium to the aorta, skipping the left ventricle, which is essential for pumping blood to the body.

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