Nursing Elites

1. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

2. Immunoglobulin G (IgG) is the most abundant antibody type, responsible for:

• A. Immediate allergic reactions
• B. Neutralizing toxins and viruses
• C. Activating other immune cells
• D. Protecting newborns from infections

Correct answer: B

Rationale: Immunoglobulin G (IgG) is indeed the most prevalent antibody type in the blood and tissue fluids. Its primary functions include neutralizing toxins and viruses, promoting phagocytosis, and activating the complement system. IgG plays a crucial role in long-term immunity and provides passive immunity to newborns by crossing the placenta, safeguarding them from infections. Immediate allergic reactions are mainly mediated by IgE, not IgG. While IgM is known for activating other immune cells, IgG focuses on other key functions within the immune response, such as neutralizing pathogens and enhancing phagocytosis. Therefore, the correct answer is B, as IgG is primarily involved in neutralizing toxins and viruses, rather than the other options presented.

3. Adipose tissue, also known as fat, serves multiple functions. Which of these is NOT a function of adipose tissue?

• A. Insulation
• B. Energy storage
• C. Hormone production
• D. Muscle movement

Correct answer: D

Rationale: Adipose tissue serves multiple functions in the body, including insulation to regulate body temperature, energy storage in the form of triglycerides, and hormone production such as leptin and adiponectin. Adipose tissue does not directly participate in muscle movement. Muscle movement is primarily carried out by skeletal muscle tissue, which is responsible for voluntary movements and locomotion. Therefore, the correct answer is D, as adipose tissue is not involved in muscle movement.

4. Which of the following statements regarding the pericardium is not correct?

• A. It allows for the heart to work in a relatively friction-free environment
• B. It is a single-walled layer around the heart
• C. It prevents overfilling of the heart with blood
• D. It protects and anchors the heart

Correct answer: B

Rationale: The correct statement about the pericardium is that it is double-walled, not single-walled. Choice A is correct because the pericardium does allow the heart to work in a relatively friction-free environment, reducing friction during heartbeats. Choice C is correct as the pericardium helps prevent the overfilling of the heart with blood. Choice D is also correct as the pericardium serves to protect and anchor the heart in place within the chest cavity.

5. What happens during expiration?

• A. The diaphragm contracts and the thoracic cavity expands.
• B. The diaphragm relaxes and the thoracic cavity contracts.
• C. The thoracic cavity expands, increasing pressure.
• D. The diaphragm relaxes and moves upward.

Correct answer: B

Rationale: The correct answer is B. During expiration, the diaphragm relaxes, causing the thoracic cavity to contract. As the thoracic cavity decreases in size, the pressure inside the lungs increases, leading to air flowing out of the lungs. This process helps to expel carbon dioxide-rich air from the body. Choices A, C, and D are incorrect. In choice A, the diaphragm contracting and the thoracic cavity expanding describes inspiration, not expiration. Choice C is incorrect because during expiration, the thoracic cavity actually decreases in size. Choice D is incorrect as the diaphragm moving upward is not a typical movement associated with expiration.

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