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. A routine urinalysis is a common diagnostic test. What does a urinalysis typically evaluate?

• A. Blood sugar levels
• B. Presence of white blood cells (indicating possible infection)
• C. Kidney function
• D. All of the above

Correct answer: D

Rationale: A routine urinalysis evaluates multiple components of urine, including blood sugar levels, the presence of white blood cells indicating a possible infection, and kidney function. Blood sugar levels are assessed to monitor for conditions like diabetes. The presence of white blood cells is checked to detect possible urinary tract infections. Kidney function is evaluated by assessing markers like creatinine and protein levels. Therefore, all of the above options are typically evaluated in a urinalysis, making choice D the correct answer.

3. What is the fatty sheath that insulates some nerve fibers and speeds up signal transmission called?

• A. Myelin sheath
• B. Dura mater
• C. Pia mater
• D. Arachnoid mater

Correct answer: A

Rationale: The correct answer is A: Myelin sheath. The myelin sheath is a fatty layer that surrounds and insulates some nerve fibers, facilitating the rapid transmission of signals along the nerve fibers. Choices B, C, and D (Dura mater, Pia mater, and Arachnoid mater) are layers of the meninges, protective membranes that surround the brain and spinal cord. The primary function of the meninges is to protect and support the central nervous system, not to insulate nerve fibers for signal transmission.

4. What is the function of arrector pili muscles?

• A. To control sweat production
• B. To contract and cause goosebumps
• C. To produce sebum
• D. To sense touch

Correct answer: B

Rationale: The correct function of arrector pili muscles is to contract and cause goosebumps. These small muscles are attached to hair follicles in mammals. When they contract, they cause the hair to stand on end, resulting in goosebumps. This physiological response is often triggered by cold temperatures or emotional states like fear, helping mammals conserve heat or appear larger in threatening situations. Choices A, C, and D are incorrect. Arrector pili muscles are not involved in controlling sweat production (Choice A), producing sebum (Choice C), or sensing touch (Choice D).

5. What macromolecules are proteins that speed up chemical reactions and act as biological catalysts?

• A. Lipids
• B. Enzymes
• C. Carbohydrates
• D. Nucleic acids

Correct answer: B

Rationale: Enzymes are proteins that act as biological catalysts, speeding up chemical reactions without being consumed in the process. Lipids, carbohydrates, and nucleic acids do not serve as proteins that function as catalysts; they have different biological roles. Lipids are primarily used for energy storage, structural components, and signaling molecules. Carbohydrates are mainly for energy storage and providing structural support. Nucleic acids are involved in genetic information storage and transfer. Therefore, the correct answer is B: Enzymes.

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