Nursing Elites

1. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

2. What is the primary function of the lymphatic system?

• A. Transporting oxygen and nutrients to cells
• B. Carrying waste products away from tissues
• C. Regulating body temperature
• D. Producing red blood cells

Correct answer: B

Rationale: The primary function of the lymphatic system is to carry waste products away from tissues. Lymphatic vessels collect excess fluid, waste materials, and toxins from the body's tissues and transport them to the bloodstream for elimination. Choice A is incorrect because transporting oxygen and nutrients to cells is mainly the function of the circulatory system. Choice C is incorrect as regulating body temperature is primarily done by the body's thermoregulatory mechanisms. Choice D is incorrect because the production of red blood cells occurs in the bone marrow, not in the lymphatic system.

3. What type of immunity is acquired through vaccination?

• A. Passive natural immunity
• B. Active natural immunity
• C. Active artificial immunity
• D. Passive artificial immunity

Correct answer: C

Rationale: The correct answer is C, Active artificial immunity. Vaccination introduces a weakened or inactive form of the pathogen to stimulate the immune system, leading to the development of immunity. Active artificial immunity is the result of deliberate exposure to an antigen, such as through vaccination, to produce an immune response. Passive immunity, like receiving pre-formed antibodies, does not involve the immune system's activation. Natural immunity is typically acquired through exposure to the pathogen itself, not through vaccination.

4. Which neuromuscular system controls voluntary movement?

• A. Autonomic
• B. Somatic
• C. Sympathetic
• D. Parasympathetic

Correct answer: B

Rationale: The correct answer is B, Somatic. The somatic nervous system controls voluntary movements of skeletal muscles. It is responsible for carrying sensory and motor information to and from the central nervous system. Choices A, C, and D are incorrect. The autonomic nervous system (choice A) controls involuntary functions such as heart rate and digestion. The sympathetic (choice C) and parasympathetic (choice D) nervous systems are subdivisions of the autonomic nervous system and are responsible for the body's fight-or-flight response and rest-and-digest functions, respectively.

5. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folding and coiling of the polypeptide backbone into structures like alpha helices and beta sheets. Secondary structure primarily involves interactions such as hydrogen bonding within the backbone. This level of protein structure is distinct from primary structure (A) which refers to the linear sequence of amino acids, tertiary structure (C) which involves the overall 3D arrangement of a single polypeptide chain, and quaternary structure (D) which pertains to the interaction between multiple polypeptide chains in a protein complex.

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