Nursing Elites

1. What is the main function of the epiglottis, a small flap of cartilage located above the larynx?

• A. To warm and humidify inhaled air
• B. To control the passage of food and air
• C. To produce sound vibrations for speech
• D. To sense the presence of foreign objects

Correct answer: B

Rationale: The main function of the epiglottis is to control the passage of food and air. It acts as a cover for the trachea during swallowing to prevent food from entering the airway. This mechanism ensures that food safely travels down the esophagus to the stomach, while air simultaneously enters the trachea and moves into the lungs for respiration. Choice A is incorrect as the warming and humidifying of inhaled air primarily occur in the nasal cavity. Choice C is incorrect because sound production for speech involves structures like the vocal cords rather than the epiglottis. Choice D is incorrect as sensing foreign objects is not a primary function of the epiglottis; instead, this role is typically associated with sensory receptors in the respiratory tract.

2. In which type of cell would you expect to find a high concentration of lysosomes?

• A. Cardiac cells
• B. Glandular cells
• C. Immune cells
• D. Neurons

Correct answer: C

Rationale: The correct answer is C: Immune cells. Immune cells, such as macrophages, contain many lysosomes for breaking down pathogens. Lysosomes are organelles responsible for digestion and waste removal within the cell, and immune cells require a high concentration of lysosomes to aid in their defense mechanisms against pathogens. Choice A, Cardiac cells, is incorrect because lysosomes are not primarily abundant in cardiac cells. Choice B, Glandular cells, is incorrect as well since lysosomes are not specifically concentrated in glandular cells. Choice D, Neurons, is also incorrect because while lysosomes are present in neurons, they are not typically found in high concentrations compared to immune cells.

3. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

4. Which of the following terms refers to the abnormal sound heard during a stethoscope examination, potentially indicating a heart valve issue?

• A. Tachycardia
• B. Bradycardia
• C. Heart murmur
• D. Arrhythmia

Correct answer: C

Rationale: A heart murmur is an abnormal sound heard during a stethoscope examination of the heart. It can indicate issues with the heart valves, such as stenosis or regurgitation. Tachycardia refers to a fast heart rate, bradycardia refers to a slow heart rate, and arrhythmia refers to an irregular heart rhythm. Therefore, the correct answer is 'Heart murmur,' as it specifically relates to the abnormal sound heard during a stethoscope examination that may signal a heart valve issue.

5. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

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