Nursing Elites

1. What factors can contribute to edema, a condition characterized by swelling due to a buildup of lymph fluid?

• A. Regular exercise
• B. Maintaining a healthy weight
• C. Poor circulation or blockage in the lymphatic system
• D. Proper hydration

Correct answer: C

Rationale: Edema is caused by the accumulation of excess fluid in the body's tissues, leading to swelling. Poor circulation or blockage in the lymphatic system can contribute to the development of edema by impairing the body's ability to properly drain fluid. While regular exercise, maintaining a healthy weight, and proper hydration are crucial for overall health, they are not direct causes of edema. Poor circulation or blockage in the lymphatic system disrupts the normal balance of fluid in the body, resulting in edema. Therefore, the correct factor that can contribute to edema is poor circulation or blockage in the lymphatic system.

2. What is the function of fascia in muscle tissue?

• A. to enclose, protect, support, and separate muscle tissue
• B. to connect muscle tissue to bone
• C. to serve as the contractile unit of muscle
• D. to slide past the actin protein cells in muscle to create contraction

Correct answer: A

Rationale: The correct answer is A: 'to enclose, protect, support, and separate muscle tissue.' Fascia is a connective tissue that surrounds muscles, providing structural support, protecting them from friction and injury, and helping in movement. Choice B is incorrect as tendons are responsible for connecting muscle tissue to bone. Choice C is incorrect as the contractile unit of muscle is the sarcomere, not fascia. Choice D is incorrect as the process described relates to muscle contraction mechanisms involving actin and myosin, not the function of fascia.

3. Which of the following statements is true regarding a supersaturated solution?

• A. It is unstable and tends to crystallize
• B. It contains more solute than it could dissolve
• C. It has a higher concentration than a saturated solution
• D. It is rarely encountered in everyday solutions

Correct answer: A

Rationale: A supersaturated solution is unstable and tends to crystallize because it contains more solute than it could dissolve at a given temperature. This excess solute is in a metastable state and can precipitate out if disturbed, leading to the formation of crystals. Option B is incorrect because a supersaturated solution does contain more solute than it could normally dissolve, but it becomes unstable due to this excess solute. Option C is incorrect because while a supersaturated solution does have a higher concentration than a saturated solution, the defining characteristic related to its instability is the excess solute. Option D is incorrect as supersaturated solutions can be encountered in various everyday scenarios, such as certain sugar solutions used in cooking or rock candy production.

4. Which gland produces the hormone responsible for the 'fight-or-flight' response in stressful situations?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The hormone responsible for the 'fight-or-flight' response in stressful situations is produced by the adrenal gland. This hormone is called adrenaline (epinephrine) and is released in response to stress, preparing the body to either fight the stressor or flee from it. The other choices are incorrect because the thyroid gland primarily produces hormones that regulate metabolism, the pituitary gland produces various hormones that control other endocrine glands, and the pancreas produces insulin and glucagon to regulate blood sugar levels.

5. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

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