Nursing Elites

1. Which of the following is a MAJOR consequence of a stroke?

• A. Irregular heart rhythm.
• B. Rapid weight gain or loss.
• C. Brain damage due to interrupted blood flow.
• D. Chronic fatigue and muscle weakness.

Correct answer: C

Rationale: A major consequence of a stroke is brain damage due to interrupted blood flow. Strokes occur when blood flow to the brain is blocked or reduced, leading to the death of brain cells. This interruption in blood flow results in brain damage, which can cause physical and cognitive impairments such as paralysis, speech difficulties, memory problems, and sensory disturbances. The severity and location of the stroke determine the extent of the consequences experienced by the individual. Choices A, B, and D are incorrect. Irregular heart rhythm is not a direct consequence of a stroke but may occur as a complication. Rapid weight gain or loss and chronic fatigue with muscle weakness are not typically considered major consequences of a stroke, which primarily affects the brain due to interrupted blood flow.

2. Which organ plays a significant role in immune cell production and maturation?

• A. Liver
• B. Kidneys
• C. Bone marrow
• D. Spleen

Correct answer: C

Rationale: The bone marrow is the correct answer. It is the primary site for immune cell production and maturation. The bone marrow is responsible for generating various types of blood cells, including white blood cells crucial for the immune system's function. The liver, kidneys, and spleen have essential functions in the body, such as filtering blood, detoxification, and storage of blood, respectively. However, they are not primarily involved in immune cell production and maturation, making them incorrect choices for this question.

3. Which of the following organelles is responsible for protein production in the cell?

• A. Ribosomes
• B. Golgi apparatus
• C. Mitochondria
• D. Lysosomes

Correct answer: A

Rationale: The correct answer is A: Ribosomes. Ribosomes are the organelles responsible for protein synthesis in the cell. They can be found either freely floating in the cytoplasm or attached to the endoplasmic reticulum. The Golgi apparatus (Choice B) is involved in processing and packaging proteins, not protein production. Mitochondria (Choice C) are responsible for energy production, not protein synthesis. Lysosomes (Choice D) are involved in digestion and waste removal, not protein production.

4. What type of joint is found at the shoulder and hip, allowing for a wide range of motion?

• A. Hinge joint
• B. Ball-and-socket joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Ball-and-socket joint. A ball-and-socket joint, like the ones found at the shoulder and hip, allows for a wide range of motion. These joints provide multidirectional movement due to the rounded end of one bone fitting into the cup-like socket of another bone, enabling flexion, extension, abduction, adduction, and rotation. Choice A, Hinge joint, is incorrect because hinge joints allow movement in one plane, like a door hinge, and do not provide the wide range of motion seen at the shoulder and hip. Choice C, Pivot joint, is incorrect because pivot joints allow rotation around a single axis, such as the neck, and do not provide the same range of motion as ball-and-socket joints. Choice D, Saddle joint, is incorrect as saddle joints allow movement in multiple directions but are not as versatile or allow as wide a range of motion as ball-and-socket joints.

5. What enzymes do lysosomes contain, leading to their nickname as the cell's 'suicide bags'?

• A. Hydrolytic enzymes
• B. Ligases (bonding enzymes)
• C. Transferases (molecule transfer)
• D. Oxidoreductases (redox reactions)

Correct answer: A

Rationale: Lysosomes are organelles filled with hydrolytic enzymes that break down proteins, nucleic acids, lipids, and carbohydrates. These enzymes aid in digesting cellular waste and foreign substances, hence the term 'suicide bags' due to their involvement in cell degradation and recycling. Ligases are enzymes that catalyze the joining of two large molecules by forming a new chemical bond, not present in lysosomes. Transferases are enzymes that catalyze the transfer of functional groups from one molecule to another, not found in lysosomes. Oxidoreductases are enzymes involved in oxidation-reduction reactions, which are not the primary function of lysosomes.

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