Nursing Elites

1. 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.

2. What is the oxidation state of carbon in CH4?

• A. +1
• B. -1
• C. +2
• D. -4

Correct answer: D

Rationale: In CH4 (methane), carbon is bonded to four hydrogen atoms. Hydrogen has an oxidation state of +1. Since the overall charge of CH4 is 0, the oxidation state of carbon must be -4 to balance the charges. Each hydrogen contributes an oxidation state of +1, resulting in a total of +4 from hydrogen atoms. To achieve a total oxidation state of 0 for the molecule, carbon must have an oxidation state of -4 to offset the contribution from hydrogen. Therefore, the correct answer is -4. Choices A, B, and C are incorrect: +1 is the oxidation state of hydrogen, -1 is not the oxidation state of carbon in methane, and +2 is not the correct oxidation state of carbon in CH4.

3. Which of the following lists of joint types is in the correct order for increasing amounts of permitted motion (least mobile to most mobile)?

• A. Hinge, condyloid, saddle
• B. Saddle, hinge, condyloid
• C. Saddle, condyloid, hinge
• D. Hinge, saddle, condyloid

Correct answer: A

Rationale: The correct order of joint types, from least mobile to most mobile, is hinge, condyloid, saddle. A hinge joint allows movement in one plane (like a door hinge), a condyloid joint allows movement in two planes but not rotation (like the wrist), and a saddle joint allows movement in multiple directions (like the thumb). Choice A, 'Hinge, condyloid, saddle,' is the correct sequence as it accurately represents the order of increasing permitted motion in joints. Choices B, C, and D are incorrect because they do not follow the correct order of joint types from least mobile to most mobile as required by the question.

4. Memory B cells and memory T cells are crucial for immunological memory. How does immunological memory enhance the immune response upon re-exposure to a pathogen?

• A. It increases the production of the same ineffective antibodies.
• B. It allows for a quicker and more robust immune response.
• C. It suppresses the immune system to prevent overreaction.
• D. It triggers a completely different immune response.

Correct answer: B

Rationale: Immunological memory enhances the immune response upon re-exposure to a pathogen by allowing for a quicker and more robust immune response. Memory B cells and memory T cells are primed to recognize the pathogen quickly and mount a faster and more effective response, leading to a more efficient clearance of the pathogen. Choice A is incorrect because immunological memory does not increase the production of ineffective antibodies but rather promotes the production of specific antibodies that are effective against the pathogen. Choice C is incorrect as immunological memory does not suppress the immune system; instead, it enhances the response. Choice D is incorrect because immunological memory leads to a recall of the specific immune response mounted during the initial exposure, not a completely different response.

5. Which of the following glands helps regulate calcium levels?

• A. Osteotoid gland
• B. Pineal gland
• C. Parathyroid glands
• D. Thymus gland

Correct answer: C

Rationale: The correct answer is C: Parathyroid glands. The parathyroid glands are responsible for regulating calcium levels in the body. They produce parathyroid hormone (PTH), which helps control calcium levels in the blood by acting on the bones, kidneys, and intestines. The other options, such as the osteotoid gland, pineal gland, and thymus gland, do not play a significant role in calcium regulation. The osteotoid gland is a fictitious term, the pineal gland is involved in regulating sleep-wake cycles and producing melatonin, and the thymus gland is part of the immune system and plays a role in T-cell maturation.

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