Nursing Elites

1. What is the name of a condition where the immune system mistakenly attacks healthy body tissues?

• A. Allergy
• B. Autoimmune disease
• C. Immunodeficiency
• D. Sepsis

Correct answer: B

Rationale: Autoimmune diseases occur when the immune system mistakenly targets and attacks healthy body tissues, leading to inflammation and damage. This results in conditions such as rheumatoid arthritis, lupus, and type 1 diabetes. Allergies, on the other hand, involve an exaggerated immune response to harmless substances like pollen or certain foods. Immunodeficiency refers to a weakened immune system, making individuals more susceptible to infections. Sepsis is a severe systemic response to an infection, leading to organ dysfunction and potentially life-threatening complications.

2. Which of the following describes a reflex arc?

• A. The storage and recall of memory
• B. The maintenance of visual and auditory acuity
• C. The autoregulation of heart rate and blood pressure
• D. A stimulus and response controlled by the spinal cord

Correct answer: D

Rationale: Choice D correctly describes a reflex arc. A reflex arc is a neural pathway that controls a reflex action. It involves a specific sequence of events that occur in response to a stimulus, which is rapidly and involuntarily processed by the spinal cord. The spinal cord coordinates the quick processing of sensory input and the generation of a motor response without involving the brain, allowing for rapid protective responses. Choices A, B, and C are incorrect because they do not accurately describe a reflex arc. A reflex arc is specifically related to the rapid and involuntary response to a stimulus through neural pathways involving the spinal cord, not memory storage, visual and auditory acuity maintenance, or heart rate and blood pressure autoregulation.

3. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

4. What are the components of an ECG?

• A. P wave, T wave, U wave
• B. P wave, QRS complex, T wave
• C. QRS complex, S wave, P wave
• D. T wave, S wave, U wave

Correct answer: B

Rationale: The correct answer is B: P wave, QRS complex, T wave. The components of an ECG include the P wave (atrial depolarization), QRS complex (ventricular depolarization), and T wave (ventricular repolarization). The P wave represents atrial depolarization, the QRS complex represents ventricular depolarization, and the T wave represents ventricular repolarization. Options A, C, and D have incorrect combinations of ECG components. Option A incorrectly includes the U wave, which is not a standard component of a typical ECG. Option C includes the S wave, which is not a primary component of a standard ECG. Option D includes the U wave, which is not a standard component, and the S wave, which is not a primary component of an ECG. Therefore, option B is the most accurate combination of components for an ECG.

5. How will mildly elevated levels of thyroxine affect the heart rate?

• A. Stop the heart rate
• B. No effect
• C. Decrease the heart rate
• D. Increase the heart rate

Correct answer: D

Rationale: Mildly elevated levels of thyroxine will increase the heart rate. Thyroxine, a hormone produced by the thyroid gland, regulates metabolism. Elevated thyroxine levels can lead to increased metabolism, resulting in an elevated heart rate. Choice A is incorrect as mildly elevated thyroxine levels do not stop the heart rate. Choice B is incorrect because elevated thyroxine levels do have an effect on heart rate. Choice C is incorrect as elevated thyroxine levels typically lead to an increase rather than a decrease in heart rate.

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