Nursing Elites

1. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

2. Which hormone, produced by the pancreas, regulates blood sugar levels by promoting the uptake of glucose into cells?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Thyroxine

Correct answer: A

Rationale: Insulin is the correct answer. It is produced by the pancreas and plays a crucial role in regulating blood sugar levels by facilitating the absorption of glucose into cells. When blood sugar levels are elevated, insulin is released to help cells utilize glucose for energy or store it for future use. Glucagon, choice B, is produced by the pancreas as well but has the opposite effect of raising blood sugar levels by releasing stored glucose into the bloodstream. Cortisol, choice C, is a hormone produced by the adrenal glands that is involved in the stress response and metabolism, not specifically in regulating blood sugar levels. Thyroxine, choice D, is a hormone produced by the thyroid gland that regulates metabolism but is not directly involved in the uptake of glucose into cells.

3. What is the Pauli exclusion 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: B

Rationale: The Pauli exclusion principle states that no two electrons in an atom can have the same set of four quantum numbers. This principle leads to the rule that electrons must have opposite spins when occupying the same orbital. Therefore, electrons cannot occupy the same orbital with the same spin, as stated in option B. Option A is incorrect as it refers to the Aufbau principle, which describes the order in which electrons fill orbitals based on increasing energy. Option C is incorrect as it provides the formula for the maximum number of electrons in an orbital based on the energy level, not the Pauli exclusion principle. Option D is incorrect as it describes Coulomb's law, which deals with the electrostatic force between charged particles, not the Pauli exclusion principle.

4. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

5. 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.

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