Nursing Elites

1. Which of the following organs functions as both an endocrine and exocrine gland?

• A. The kidney
• B. The spleen
• C. The pancreas
• D. The stomach

Correct answer: C

Rationale: The pancreas is the correct answer as it functions as both an endocrine and exocrine gland. The endocrine function involves secreting insulin and glucagon into the bloodstream to regulate blood sugar levels, while the exocrine function involves releasing digestive enzymes into the small intestine to aid in digestion. The kidney (Choice A) primarily functions in the excretory system by filtering blood and producing urine. The spleen (Choice B) is involved in the immune system and blood storage but does not have endocrine or exocrine functions. The stomach (Choice D) is mainly an organ of the digestive system, secreting gastric juices to aid in digestion, but it does not have a dual endocrine and exocrine function like the pancreas.

2. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

3. T cells in the immune system can be categorized into different types. What type of T cell directly kills infected body cells?

• A. Helper T cells
• B. Cytotoxic T cells
• C. Regulatory T cells
• D. Memory T cells

Correct answer: B

Rationale: Cytotoxic T cells directly kill infected body cells by recognizing specific antigens on the surface of infected cells and releasing cytotoxic substances to induce cell death, eliminating the infected cells. Helper T cells assist in coordinating the immune response, regulatory T cells help maintain immune tolerance, and memory T cells mount a faster and stronger response upon re-exposure to a previously encountered antigen. Therefore, the correct answer is cytotoxic T cells as they play a crucial role in directly targeting and destroying infected cells.

4. Water is considered a universal solvent due to its ____.

• A. Cohesion
• B. Adhesion
• C. Molarity
• D. Dilution

Correct answer: B

Rationale: The correct answer is B: Adhesion. Water's polarity allows it to dissolve many substances due to its ability to adhere to and interact with other molecules, making it an effective solvent. Cohesion refers to water molecules sticking together, molarity is a measure of concentration, and dilution refers to the process of reducing the concentration of a solute in a solution, none of which directly relate to water's role as a universal solvent.

5. Bone is primarily composed of which of the following inorganic materials?

• A. calcium
• B. magnesium
• C. collagen
• D. potassium

Correct answer: A

Rationale: Bone is primarily composed of calcium, making up about 70% of its inorganic content. Calcium is essential for bone strength and structure, playing a key role in maintaining bone health. Choice B, magnesium, while important for bone health, is found in smaller amounts in bones compared to calcium. Choice C, collagen, is a protein and is a major organic component of bone, not an inorganic material. Choice D, potassium, is an essential mineral for various bodily functions but is not a primary inorganic material found in bones.

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