Nursing Elites

1. 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.

2. From which type of tissue is the myelin sheath derived, a fatty substance that insulates nerve fibers?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath, a fatty substance that insulates nerve fibers, is derived from nervous tissue, specifically glial cells. Glial cells, including oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system, are responsible for producing the myelin sheath that surrounds and insulates nerve fibers, aiding in the conduction of nerve impulses. Epithelial tissue (Choice A), Muscle tissue (Choice B), and Connective tissue (Choice D) are not responsible for producing the myelin sheath; instead, nervous tissue (glial cells) plays this crucial role.

3. The muscular diaphragm plays a vital role in respiration. When it contracts, it:

• A. Increases lung volume for inhalation
• B. Decreases lung volume for exhalation
• C. Filters dust and particles from inhaled air
• D. Produces mucus to lubricate the airways

Correct answer: A

Rationale: The muscular diaphragm plays a crucial role in respiration by contracting and flattening during inhalation. This action increases the volume of the thoracic cavity, which leads to a decrease in pressure within the lungs, allowing air to rush in and fill the expanded space. Choice B is incorrect because the diaphragm contracting increases the lung volume for inhalation, not decreases it for exhalation. Choice C is incorrect as the role of filtering dust and particles is primarily performed by the respiratory system's other structures like the nasal passages and the mucous membranes. Choice D is incorrect as mucus production is mainly carried out by specialized cells in the respiratory system and not by the diaphragm.

4. Which of these is NOT a function of the large intestine?

• A. Absorbing water and electrolytes
• B. Producing vitamins
• C. Breaking down fiber
• D. Eliminating waste products

Correct answer: B

Rationale: A) Absorbing water and electrolytes: The large intestine plays a crucial role in absorbing water and electrolytes from the indigestible food matter that passes through it. This helps in maintaining the body's fluid balance and preventing dehydration. B) Producing vitamins: While the large intestine contains bacteria that can produce some vitamins like vitamin K and certain B vitamins, the primary site for vitamin production is the small intestine and other organs like the liver. Therefore, producing vitamins is not a primary function of the large intestine. C) Breaking down fiber: The large intestine is responsible for breaking down fiber that was not digested in the small intestine. The bacteria in the large intestine ferment fiber, producing short-chain fatty acids that can be used as an energy source by the body. D) Eliminating waste products: One of the main functions of the large intestine is to eliminate waste products, including indigestible food matter, dead cells, and bacteria, from the body in the form of feces. Therefore, the correct answer is B, as producing vitamins is not a primary function of the large intestine.

5. What is the primary function of ribosomes in a cell?

• A. Protein synthesis
• B. DNA replication
• C. Cell division
• D. Lipid synthesis

Correct answer: A

Rationale: The correct answer is A: Protein synthesis. Ribosomes are the cellular organelles responsible for protein synthesis. They read the messenger RNA (mRNA) and translate the genetic information into specific proteins. This process is essential for building and maintaining the structures and functions of the cell. Choice B, DNA replication, is incorrect because ribosomes are not involved in replicating DNA; that process occurs in the nucleus. Choice C, cell division, is incorrect as ribosomes are not directly involved in cell division but rather in protein synthesis. Choice D, lipid synthesis, is also incorrect as ribosomes are not responsible for synthesizing lipids, which primarily occurs in the endoplasmic reticulum and other organelles.

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