Nursing Elites

1. Which of the following items is NOT a primary function of a healthy immune system?

• A. The immune system helps the body avoid infections.
• B. The immune system detects infections.
• C. The immune system eliminates infections.
• D. The immune system creates infections.

Correct answer: D

Rationale: The correct answer is D. The primary functions of a healthy immune system do not involve creating infections. A healthy immune system helps the body avoid infections by providing defense mechanisms, detects infections by recognizing harmful pathogens, and eliminates infections by attacking and clearing out pathogens. Creating infections goes against the protective role of the immune system and is not a function it performs. Therefore, choices A, B, and C are correct functions of a healthy immune system, while choice D is incorrect.

2. Which of the following blood vessels carries oxygenated blood from the lungs to the heart?

• A. Pulmonary vein
• B. Pulmonary artery
• C. Aorta
• D. Vena cava

Correct answer: A

Rationale: The correct answer is A: Pulmonary vein. The pulmonary vein carries oxygenated blood from the lungs to the heart. It is essential to distinguish between the pulmonary vein (A) and the pulmonary artery (B) in this context. The pulmonary vein transports oxygenated blood, while the pulmonary artery carries deoxygenated blood from the heart to the lungs for oxygenation. The aorta (C) functions as the main artery that delivers oxygenated blood from the heart to the body's tissues, while the vena cava (D) returns deoxygenated blood from the body to the heart.

3. Through which part of the digestive system are nutrients absorbed into the bloodstream?

• A. Stomach
• B. Large intestine
• C. Small intestine
• D. Esophagus

Correct answer: C

Rationale: The small intestine is the primary site of nutrient absorption in the digestive system. It is where the majority of digestion and absorption of nutrients such as carbohydrates, proteins, and fats occurs. The inner lining of the small intestine is covered in tiny finger-like projections called villi, which increase the surface area available for absorption. Nutrients are absorbed through the walls of the small intestine and into the bloodstream to be transported to cells throughout the body. The stomach's main role is to break down food through the action of stomach acids and enzymes but does not absorb nutrients. The large intestine primarily absorbs water and electrolytes from the remaining indigestible food matter, and the esophagus is a muscular tube that transports food from the mouth to the stomach, without being involved in nutrient absorption.

4. Which cells myelinate neurons in the PNS?

• A. Oligodendrocytes
• B. Astrocytes
• C. Schwann cells
• D. Microglia

Correct answer: C

Rationale: Schwann cells are the glial cells responsible for myelinating neurons in the peripheral nervous system (PNS). They form the myelin sheath around axons, which helps in the conduction of electrical impulses. Oligodendrocytes, on the other hand, myelinate neurons in the central nervous system (CNS). Astrocytes primarily provide support for neuronal function by regulating the chemical environment around neurons and maintaining the blood-brain barrier. Microglia are part of the immune response in the CNS, where they act as the resident macrophages, playing a role in immune surveillance and response to injury or disease. Therefore, the correct answer is Schwann cells (Choice C) as they specifically myelinate neurons in the PNS, differentiating them from the other cell types mentioned in the choices.

5. What initiates the process of coagulation?

• A. When blood changes from a gel to liquid form.
• B. Begins instantly after a blood vessel has been damaged.
• C. A simple single-phase response of the blood drying upon contact with the air.
• D. Also known as clotting, or the formation of fibrin.

Correct answer: B

Rationale: The correct answer is B. The process of coagulation, also known as blood clotting, begins instantly after a blood vessel has been damaged. When a blood vessel is injured, the body quickly responds by initiating a cascade of reactions to form a blood clot, which helps to stop bleeding and promote healing. Choices A, C, and D are incorrect because coagulation does not occur just when blood changes from a gel to liquid form, it is not a response of blood drying upon contact with air, and it is not simply the formation of fibrin. The primary trigger for coagulation is vascular injury.

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