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. The adaptive immune system has two main branches: humoral and cell-mediated immunity. Which type of immune cell is primarily responsible for antibody production?

• A. Helper T cells
• B. Cytotoxic T cells
• C. B cells
• D. Natural killer cells

Correct answer: C

Rationale: B cells are primarily responsible for antibody production in the adaptive immune system. When activated, B cells differentiate into plasma cells, which are specialized to produce antibodies. Helper T cells play a crucial role in activating B cells, but they do not directly produce antibodies. Cytotoxic T cells are involved in cell-mediated immunity by killing infected cells, while natural killer cells are part of the innate immune system and target virus-infected and cancerous cells. Therefore, the correct answer is C (B cells) as they are directly involved in the production of antibodies, essential for humoral immunity.

3. Which enzyme breaks down carbohydrates like starches and sugars in the mouth?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: The correct answer is Amylase. Amylase is the enzyme responsible for breaking down carbohydrates like starches and sugars in the mouth. Pepsin is a digestive enzyme that breaks down proteins in the stomach, lipase breaks down fats, and trypsin is another enzyme that breaks down proteins in the small intestine. Therefore, choices A, B, and D are incorrect for this question.

4. What type of muscle is found in the walls of the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle is the specialized muscle found in the walls of the heart. It contracts involuntarily to pump blood throughout the body, ensuring circulation. Smooth muscle is typically found in organs like the intestines and blood vessels, aiding in their functions. Skeletal muscle is attached to bones and plays a vital role in movement and posture. Voluntary muscle is a general term for skeletal muscles that are under conscious control, unlike cardiac muscle which contracts involuntarily to maintain the heart's continuous pumping action.

5. Which property of a substance resists a change in its shape?

• A. Density
• B. Mass
• C. Inertia
• D. Elasticity

Correct answer: D

Rationale: Elasticity refers to a material's ability to resist deformation and return to its original shape after stress is applied. It is the property that resists a change in shape. Density is the mass per unit volume of a substance. Mass is the amount of matter in an object, while inertia is the tendency of an object to resist changes in its state of motion. Viscosity, not mentioned in the question, is the resistance of a fluid to flow, not shape change.

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