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. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

3. Which of the following antibodies can cross the placenta?

• A. IgA
• B. IgD
• C. IgG
• D. IgM

Correct answer: C

Rationale: The correct answer is IgG. IgG is the only antibody that can cross the placenta, providing passive immunity to the developing fetus. IgA, IgD, and IgM do not cross the placenta. IgA is mainly found in mucosal secretions, IgD is involved in the activation of B cells, and IgM is the first antibody produced in response to an infection, but it does not cross the placental barrier.

4. Which of the following hormones is produced by the adrenal medulla and prepares the body for a stressful situation?

• A. Testosterone
• B. Cortisol
• C. Epinephrine (adrenaline)
• D. Growth hormone

Correct answer: C

Rationale: The correct answer is C: Epinephrine (adrenaline). Epinephrine is produced by the adrenal medulla and is responsible for preparing the body for a stressful situation. It increases heart rate, dilates airways, and mobilizes energy stores to help the body respond to a fight-or-flight scenario. Testosterone (Choice A) is a sex hormone produced by the testes in males and in smaller amounts by the ovaries in females, not by the adrenal medulla. Cortisol (Choice B) is a stress hormone produced by the adrenal cortex, not the adrenal medulla. Growth hormone (Choice D) is produced by the pituitary gland and is involved in growth, metabolism, and various bodily functions, not by the adrenal medulla.

5. What is involved in the involuntary reflex arc that withdraws your hand from a hot object?

• A. Central nervous system only
• B. Peripheral nervous system only
• C. Both CNS and PNS
• D. Sensory neurons only

Correct answer: C

Rationale: The involuntary reflex arc that withdraws your hand from a hot object involves both the central nervous system (CNS) and the peripheral nervous system (PNS). When your hand touches a hot object, sensory neurons in the PNS detect the heat and send signals to the spinal cord in the CNS. The spinal cord processes this information and sends a signal back through motor neurons in the PNS to move your hand away from the hot object. This coordinated response requires the collaboration of both the CNS and PNS to protect the body from harm. Choice A is incorrect because the reflex arc involves more than just the central nervous system. Choice B is incorrect because the reflex arc involves more than just the peripheral nervous system. Choice D is incorrect because the reflex arc also involves motor neurons, not just sensory neurons.

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