Nursing Elites

1. What causes lymphedema, a chronic condition, to occur?

• A. Inflammation of lymph nodes
• B. Blockage of lymph vessels
• C. Malfunction of the spleen
• D. Decrease in bone marrow production

Correct answer: B

Rationale: Lymphedema is a chronic condition that occurs when lymph vessels become blocked, leading to swelling and fluid retention in the affected area. Inflammation of lymph nodes, spleen malfunction, or decreased bone marrow production are not directly associated with the development of lymphedema. Lymph vessels play a crucial role in carrying lymphatic fluid, and when they are blocked, it disrupts the normal flow of fluid, resulting in lymphedema. Therefore, the correct answer is that lymphedema occurs when lymph vessels become blocked.

2. The chemical equation below is unbalanced. When it is properly balanced, how many molecules of carbon dioxide (CO2) are produced for each molecule of propane (C3H8) in the reaction? 3C3H8 + 5O2 → 3CO2 + 4H2O

• A. One Half.
• B. Two.
• C. Three.
• D. Five.

Correct answer: B

Rationale: The balanced chemical equation for the combustion of propane is: 3C3H8 + 5O2 → 3CO2 + 4H2O. This equation shows that for every 3 molecules of propane (C3H8) consumed, 3 molecules of carbon dioxide (CO2) are produced. Therefore, when properly balanced, 3CO2 are produced for each molecule of propane used. Thus, the correct answer is B: Two. Choices A, C, and D are incorrect because they do not reflect the correct stoichiometry as determined by the balanced equation.

3. Which of the following is an example of an unsaturated fatty acid?

• A. Stearic acid
• B. Palmitic acid
• C. Oleic acid
• D. Butyric acid

Correct answer: C

Rationale: Oleic acid is an example of an unsaturated fatty acid because it contains one or more double bonds in its hydrocarbon chain, leading to kinks in the chain structure. This unsaturation gives it a lower melting point compared to saturated fatty acids. Stearic acid (A), Palmitic acid (B), and Butyric acid (D) are examples of saturated fatty acids as they do not contain any double bonds in their hydrocarbon chains, leading to a straight structure and higher melting points.

4. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction. Dopamine is involved in reward and pleasure pathways, serotonin regulates mood and behavior, and norepinephrine is involved in the 'fight or flight' response.

5. Which of the following describes the general function of cytokines in the immune system?

• A. They communicate between cells to instigate an immune response.
• B. They inhibit blood clotting during inflammation responses.
• C. They bind to specific pathogens to increase pathogen mass.
• D. They transport pathogens trapped in mucus to be destroyed in the stomach.

Correct answer: A

Rationale: The correct answer is A: 'They communicate between cells to instigate an immune response.' Cytokines are signaling molecules that act as messengers between cells in the immune system, playing a vital role in coordinating and regulating immune responses. They communicate with various immune cells to initiate appropriate responses against pathogens. Choice B is incorrect because cytokines do not inhibit blood clotting but rather regulate immune responses. Choice C is incorrect as cytokines do not bind to specific pathogens to increase their mass; instead, they regulate the immune response. Choice D is also incorrect because cytokines do not transport pathogens trapped in mucus to the stomach for destruction; they primarily function as signaling molecules within the immune system.

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