Nursing Elites

1. Which vitamin is synthesized in the skin upon exposure to sunlight?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is synthesized in the skin upon exposure to sunlight. When the skin is exposed to sunlight, a form of cholesterol in the skin is converted into vitamin D3 (cholecalciferol) through a series of chemical reactions. Vitamin D plays a crucial role in calcium absorption and bone health. Choice A, Vitamin A, is not synthesized in the skin upon exposure to sunlight; it is obtained through dietary sources. Choice B, Vitamin C, is not synthesized in the skin upon exposure to sunlight either. Vitamin C is obtained through dietary sources like fruits and vegetables. Choice D, Vitamin E, is not synthesized in the skin upon exposure to sunlight. Vitamin E is a fat-soluble vitamin that acts as an antioxidant and is obtained through dietary sources like nuts, seeds, and vegetable oils.

2. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

3. What is the process by which a fertilized egg implants itself in the lining of the uterus?

• A. Fertilization
• B. Implantation
• C. Gestation
• D. Parturition

Correct answer: B

Rationale: Implantation is the correct answer. It is the process where a fertilized egg attaches itself to the lining of the uterus to establish a pregnancy. Fertilization is the initial step where the sperm and egg fuse to form a zygote. Gestation refers to the period of fetal development within the uterus. Parturition is the process of giving birth and is not related to the implantation of the fertilized egg, which occurs earlier in the reproductive process.

4. How many lobes does the right lung have?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: C

Rationale: The correct answer is C: 3. The right lung consists of three lobes: the upper, middle, and lower lobes. This distinction is vital as the left lung only has two lobes, the upper and lower lobes. Understanding the anatomical variances between the lobes of the right and left lungs is crucial for comprehending respiratory physiology and its clinical implications in medical practice. Choices A, B, and D are incorrect because the right lung does not have 1, 2, or 4 lobes. It is essential to differentiate between the lobes of the right and left lungs to have a comprehensive understanding of pulmonary anatomy.

5. What happens during expiration?

• A. The diaphragm contracts and the thoracic cavity expands.
• B. The diaphragm relaxes and the thoracic cavity contracts.
• C. The thoracic cavity expands, increasing pressure.
• D. The diaphragm relaxes and moves upward.

Correct answer: B

Rationale: The correct answer is B. During expiration, the diaphragm relaxes, causing the thoracic cavity to contract. As the thoracic cavity decreases in size, the pressure inside the lungs increases, leading to air flowing out of the lungs. This process helps to expel carbon dioxide-rich air from the body. Choices A, C, and D are incorrect. In choice A, the diaphragm contracting and the thoracic cavity expanding describes inspiration, not expiration. Choice C is incorrect because during expiration, the thoracic cavity actually decreases in size. Choice D is incorrect as the diaphragm moving upward is not a typical movement associated with expiration.

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