Nursing Elites

1. What is the bottom number in a blood pressure reading?

• A. Diastolic pressure
• B. Systolic pressure
• C. Pulse rate
• D. Mean arterial pressure

Correct answer: A

Rationale: The correct answer is A: Diastolic pressure. The bottom number in a blood pressure reading represents the diastolic pressure, which indicates the lowest pressure in the arteries when the heart is resting between beats. This value is important in understanding the overall health of the cardiovascular system. Choice B, Systolic pressure, is the top number in a blood pressure reading and represents the pressure in the arteries when the heart is contracting. Choice C, Pulse rate, refers to the number of times the heart beats in a minute. Choice D, Mean arterial pressure, is a calculated value using both systolic and diastolic pressures to provide an average pressure in the arteries during a cardiac cycle, but it is not the bottom number in a blood pressure reading.

2. Which of the following epithelial tissues lines the stratified squamous epithelium of the esophagus, providing a protective barrier against abrasion from food passage?

• A. Simple squamous epithelium
• B. Stratified squamous epithelium
• C. Simple cuboidal epithelium
• D. Stratified cuboidal epithelium

Correct answer: B

Rationale: The correct answer is stratified squamous epithelium. This type of epithelium is found in areas subjected to mechanical and chemical stresses, such as the lining of the esophagus. The multiple layers of cells provide protection against abrasion from the passage of food. Simple squamous epithelium (choice A) is a single layer of flat cells and is not well-suited for protection against abrasion as it lacks the multiple layers. Simple cuboidal epithelium (choice C) is found in areas where secretion and absorption occur, such as kidney tubules, and is not typically found in the esophagus where protection against abrasion is necessary. Stratified cuboidal epithelium (choice D) is rare in the body and is not a characteristic tissue type of the esophagus, which requires stratified squamous epithelium for its protective function.

3. Which of the following cell organelles is the site of lipid synthesis?

• A. smooth endoplasmic reticulum
• B. ribosome
• C. rough endoplasmic reticulum
• D. Golgi apparatus

Correct answer: A

Rationale: The correct answer is the smooth endoplasmic reticulum. This organelle lacks ribosomes on its surface, unlike the rough endoplasmic reticulum, which is involved in protein synthesis. The enzymes present in the smooth endoplasmic reticulum are responsible for synthesizing lipids such as phospholipids and steroids. Choice B, ribosomes, are responsible for protein synthesis and not lipid synthesis. Choice C, rough endoplasmic reticulum, is involved in protein synthesis due to the presence of ribosomes. Choice D, Golgi apparatus, is responsible for modifying, sorting, and packaging proteins for secretion, not lipid synthesis.

4. Which of the following terms refers to a muscle twitch, a single forceful contraction of a muscle fiber?

• A. Tetanus
• B. Tremor
• C. Fasciculation
• D. Rigidity

Correct answer: C

Rationale: The correct term for a muscle twitch, a single forceful contraction of a muscle fiber, is 'Fasciculation' (choice C). Fasciculation specifically describes this phenomenon. 'Tetanus' (choice A) refers to sustained muscle contraction, 'Tremor' (choice B) indicates a shaky or quivering movement, and 'Rigidity' (choice D) denotes stiffness or inflexibility in muscles. Therefore, choices A, B, and D are incorrect in the context of a single forceful contraction of a muscle fiber.

5. What is the milky-white fluid transported by the lymphatic vessels called?

• A. Plasma
• B. Blood
• C. Chyle
• D. Mucus

Correct answer: C

Rationale: The milky-white fluid transported by the lymphatic vessels is called chyle. Chyle is formed in the small intestine during the digestion of fatty foods and contains a mixture of lymph and emulsified fats. Plasma is the liquid component of blood, not lymphatic fluid. Blood refers to the fluid that circulates in the cardiovascular system, not lymphatic fluid. Mucus is a slimy substance secreted by mucous membranes, not the fluid transported by lymphatic vessels.

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