Nursing Elites

1. Which of the following meninges is a thin membrane containing numerous nerves and blood vessels that supply nourishment to the underlying brain cells and spinal cord?

• A. Arachnoid mater
• B. Dura mater
• C. Periosteum
• D. Pia mater

Correct answer: D

Rationale: The pia mater is the correct answer. It is a thin, innermost layer of the meninges that contains numerous nerves and blood vessels, providing nourishment to the underlying brain cells and spinal cord. The arachnoid mater (Choice A) is the middle layer of the meninges and does not contain as many nerves and blood vessels as the pia mater. The dura mater (Choice B) is the tough, outermost layer of the meninges and is not responsible for supplying nourishment. The periosteum (Choice C) is a connective tissue membrane covering bones, not part of the meninges.

2. Which type of muscle tissue contracts involuntarily and is found in organs like the heart and intestines?

• A. Skeletal muscle
• B. Cardiac muscle
• C. Smooth muscle
• D. All of the above

Correct answer: C

Rationale: Smooth muscle is the type of muscle tissue that contracts involuntarily and is found in organs like the heart and intestines. Skeletal muscle is responsible for voluntary movements, like those involved in skeletal system actions. Cardiac muscle is found in the heart and contracts involuntarily, but it is distinct from smooth muscle. The heart's muscle is specialized and forms the myocardium, which is not the same as the smooth muscle found in organs like the intestines. Therefore, the correct answer is C) Smooth muscle.

3. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

4. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

5. What is the feedback mechanism in the endocrine system that helps maintain hormone balance?

• A. Positive feedback, where a hormone stimulates its own release
• B. Negative feedback, where a hormone suppresses its own release
• C. Cascade effect, where one hormone triggers the release of another
• D. Dual hormone system, where two hormones work together

Correct answer: B

Rationale: In the endocrine system, negative feedback is the mechanism by which hormone levels are regulated. When hormone levels reach a certain threshold, they signal the body to stop producing more of that hormone, thus maintaining a balance. Negative feedback (option B) is the correct answer as it helps in preventing overproduction of hormones by suppressing their own release. Positive feedback (option A) would lead to an excessive production of hormones, disrupting the balance. The cascade effect (option C) involves one hormone triggering the release of another but does not directly regulate hormone levels. The dual hormone system (option D) refers to two hormones working together but does not specifically address the feedback mechanism for maintaining hormone balance.

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