Nursing Elites

1. How does human sperm move?

• A. Flagella
• B. Cilia
• C. Neutrophils
• D. None of the above

Correct answer: A

Rationale: Human sperm moves using flagella, which are whip-like structures that aid in propulsion. Flagella are tail-like structures found in sperm cells and help them swim towards the egg for fertilization. Cilia are shorter, hair-like structures that are not involved in the movement of sperm. Neutrophils are a type of white blood cell involved in the immune response and are not related to sperm locomotion.

2. Which part of the female reproductive system remains blocked after tubectomy?

• A. Fallopian tube
• B. Cervix
• C. Uterine cavity
• D. None

Correct answer: A

Rationale: After a tubectomy procedure, the Fallopian tube remains blocked. This is the correct answer because tubectomy involves the surgical blocking or sealing of the Fallopian tubes to prevent eggs from reaching the uterus, thus preventing pregnancy. Choice B, the cervix, is incorrect as it is not blocked during a tubectomy. Choice C, the uterine cavity, is also incorrect as the procedure does not involve blocking this part of the reproductive system. Choice D, none, is incorrect as the purpose of tubectomy is to block the Fallopian tubes.

3. What type of epithelium lines the urinary bladder?

• A. Transitional epithelium.
• B. Stratified epithelium.
• C. Glandular tissue.
• D. Endometrium.

Correct answer: A

Rationale: The correct answer is A: Transitional epithelium. The urinary bladder is lined with transitional epithelium, a specialized type of epithelial tissue that can stretch and recoil to accommodate changes in volume as the bladder fills and empties. Stratified epithelium (choice B) is not the main lining of the urinary bladder and is found in other areas like the skin. Glandular tissue (choice C) is responsible for producing secretions and is not typically found lining the urinary bladder. Endometrium (choice D) is the inner lining of the uterus and is not present in the urinary bladder.

4. Which of the following hormone ratios is MOST likely to be increased in a patient with PCOS?

• A. Progesterone/estrogen
• B. LH/FSH
• C. FSH/LH
• D. Glucagon/insulin

Correct answer: B

Rationale: In patients with Polycystic Ovary Syndrome (PCOS), the LH/FSH ratio is most likely to be increased. This hormonal imbalance is a key characteristic of PCOS, where elevated LH levels relative to FSH contribute to the pathophysiology of the condition. Choice A, progesterone/estrogen ratio, is not typically a defining feature of PCOS. Choice C, FSH/LH ratio, is the reverse of what is commonly observed in PCOS. Choice D, glucagon/insulin ratio, is not directly related to the hormonal imbalances seen in PCOS.

5. How can the need to respect clients' rights to informed consent be attained in quality of care?

• A. by providing adequate information and counseling
• B. by forcing all patients scheduled for surgery to sign the consent form
• C. by engaging the Senior medical superintendent of the hospital to sign consent forms for the patients
• D. by simply telling the patient to sign the consent form

Correct answer: A

Rationale: The correct answer is A: 'by providing adequate information and counseling.' Respecting clients' rights to informed consent involves ensuring that patients are adequately informed about the procedures they will undergo. This includes providing them with all necessary information and counseling to make an informed decision. Choice B is incorrect because forcing patients to sign consent forms does not ensure that they are fully informed or that their rights are respected. Choice C is incorrect as involving a senior medical superintendent to sign consent forms does not guarantee that patients are adequately informed. Choice D is incorrect because simply telling the patient to sign the consent form does not fulfill the requirement of providing adequate information for informed consent.

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