Nursing Elites

1. Which respiratory structure is responsible for the production of mucus to trap particles and for the movement of cilia to sweep mucus and trapped particles out of the respiratory tract?

• A. Trachea
• B. Larynx
• C. Bronchi
• D. Respiratory epithelium

Correct answer: D

Rationale: The respiratory epithelium is the correct answer because it is the tissue lining the respiratory tract responsible for producing mucus to trap particles and containing cilia that sweep the mucus and trapped particles out of the respiratory tract. The trachea, larynx, and bronchi are all structures within the respiratory system but do not specifically carry out the functions described in the question. The trachea is a passage for air, the larynx is involved in sound production and protecting the airway, and the bronchi are airway passages that branch from the trachea to the lungs. Only the respiratory epithelium fits the description of producing mucus and utilizing cilia for particle removal in the respiratory tract.

2. What is the normal (complete) flow of blood through the heart?

• A. Right atrium → lungs → left atrium → body
• B. Left atrium → left ventricle → body → right atrium
• C. Right atrium → right ventricle → lungs → left atrium → left ventricle → aorta → body
• D. Right ventricle → left ventricle → body

Correct answer: C

Rationale: The correct flow of blood through the heart starts with the right atrium receiving deoxygenated blood from the body, followed by the right ventricle pumping blood to the lungs for oxygenation. Oxygenated blood then returns to the heart through the left atrium, then passes to the left ventricle which pumps it out to the body through the aorta. This flow ensures that blood is properly oxygenated before circulating through the body. Choice A is incorrect as the blood does not go directly from the left atrium to the body, skipping the left ventricle. Choice B is incorrect as it does not follow the correct flow sequence in the heart. Choice D is incorrect as it does not include the full pathway of blood through the heart.

3. What term refers to the mechanical act of breathing?

• A. Diffusion
• B. Perfusion
• C. Respiration
• D. Ventilation

Correct answer: D

Rationale: Ventilation is the correct answer as it specifically refers to the mechanical process of breathing air in and out of the lungs. Diffusion (choice A) is the movement of molecules from an area of high concentration to low concentration, not related to the mechanical act of breathing. Perfusion (choice B) is the process of blood flow through the tissues and organs, not directly related to breathing mechanically. Respiration (choice C) involves the exchange of oxygen and carbon dioxide at the cellular level, different from the mechanical act of breathing.

4. What is the main consequence of a malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones?

• A. Increased energy levels and weight loss
• B. Decreased heart rate and body temperature
• C. Enhanced muscle growth and bone development
• D. Faster metabolism and heightened alertness

Correct answer: B

Rationale: The correct answer is B: Decreased heart rate and body temperature. A malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones leads to hypothyroidism, resulting in decreased metabolic activity. This reduction in metabolic rate can cause a decreased heart rate and lower body temperature. Choices A, C, and D are incorrect because hypothyroidism typically manifests as symptoms such as fatigue, weight gain, cold intolerance, bradycardia, and decreased body temperature, rather than increased energy levels, enhanced muscle growth, faster metabolism, or heightened alertness.

5. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

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

Correct answer: D

Rationale: Trypsin is the correct enzyme that breaks down proteins into amino acids. It is produced by the pancreas and released into the small intestine to facilitate protein digestion. Pepsin is an enzyme from the stomach that also breaks down proteins, amylase targets carbohydrates, and lipase works on fats. In this context, since the question specifies the pancreas and small intestine, the correct answer is Trypsin as it is the pancreatic enzyme responsible for protein breakdown in the small intestine.

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