Nursing Elites

1. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

2. Which term refers to a position toward the head? Example: The hand is part of the superior extremity.

• A. Superior
• B. Inferior
• C. Medial
• D. Lateral

Correct answer: A

Rationale: The correct answer is 'Superior.' 'Superior' refers to a position toward the head, while 'inferior' is the term for a position toward the feet. In the given example, the hand belongs to the superior extremity, which includes structures closer to the head. 'Inferior' is incorrect as it refers to a position away from the head or toward the feet. 'Medial' describes a position closer to the midline of the body, while 'lateral' refers to a position farther away from the midline.

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. Which type of cell secretes antibodies?

• A. Bacterial cells
• B. Viral cells
• C. Lymph cells
• D. Plasma cells

Correct answer: D

Rationale: The correct answer is D: Plasma cells. Plasma cells are a type of white blood cell that secretes antibodies. Antibodies are essential components of the immune system, as they help in identifying and neutralizing pathogens. Choice A, B, and C are incorrect as bacterial cells and viral cells do not secrete antibodies, and lymph cells are involved in the immune response but do not secrete antibodies like plasma cells.

5. Melanin, the pigment responsible for skin color, is produced by

• A. Keratinocytes (These cells produce keratin)
• B. Melanocytes
• C. Sebocytes (These cells produce sebum)
• D. Langerhans cells (These cells are part of the immune system)

Correct answer: B

Rationale: Melanocytes are the cells responsible for producing melanin, the pigment that determines skin color. Melanin gives skin its color and protects it from the harmful effects of UV radiation. Keratinocytes produce keratin, a tough protein that forms the outer layer of the skin, hair, and nails. Sebocytes produce sebum, an oily substance that helps moisturize and protect the skin. Langerhans cells are a type of immune cell found in the skin that play a role in protecting against infections and foreign substances but do not produce melanin.

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