Nursing Elites

1. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases carbon dioxide-rich air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: A

Rationale: Exhalation (expiration) involves active muscle contraction, specifically the diaphragm and intercostal muscles, to decrease the volume of the thoracic cavity and push air out of the lungs. In contrast, inhalation (inspiration) is a passive process where the diaphragm and external intercostal muscles contract to increase the thoracic cavity volume, allowing air to flow into the lungs. Choice B is incorrect as exhalation removes carbon dioxide-rich air and inhalation brings in oxygen-rich air. Choice C is incorrect because both exhalation and inhalation can occur through the nose or mouth. Choice D is inaccurate as inhalation humidifies and warms the air, while exhalation cools and dries it.

2. What is the protective fluid that surrounds the brain and spinal cord?

• A. Blood
• B. Cerebrospinal fluid
• C. Myelin sheath
• D. Insulin

Correct answer: B

Rationale: Cerebrospinal fluid is the protective fluid that surrounds the brain and spinal cord. It acts as a cushion to protect these vital organs from injury and provides nutrients and removes waste products. Blood, myelin sheath, and insulin do not serve as the protective fluid surrounding the brain and spinal cord. Blood carries nutrients and oxygen to cells, myelin sheath is a protective covering of nerve fibers, and insulin is a hormone involved in regulating blood sugar levels.

3. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

4. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

5. Which of the following structures is responsible for filtering blood in the kidneys?

• A. Ureter
• B. Glomerulus
• C. Nephron
• D. Renal artery

Correct answer: B

Rationale: The correct answer is B: Glomerulus. The glomerulus, located in the nephron of the kidney, is a network of tiny blood vessels responsible for filtering blood. It removes waste products and excess substances to form urine. The ureter carries urine from the kidneys to the bladder and is not involved in blood filtration. The nephron is the functional unit of the kidney where blood is filtered and urine is produced. The renal artery supplies blood to the kidneys but is not directly involved in the filtration process.

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