Nursing Elites

1. What is the primary function of the myelin sheath that surrounds some axons in the nervous system?

• A. To initiate nerve impulses
• B. To transmit sensory information
• C. To speed up the transmission of nerve impulses
• D. To connect neurons at synapses

Correct answer: C

Rationale: The primary function of the myelin sheath is to speed up the transmission of nerve impulses. The myelin sheath acts as an insulating layer around the axon, allowing for faster conduction of electrical impulses along the nerve fiber. This insulation prevents the electrical signal from dissipating or 'leaking' out, which helps in the rapid and efficient transmission of nerve impulses along the axon. Choice A is incorrect because the myelin sheath does not initiate nerve impulses; it helps in conducting them. Choice B is incorrect as the myelin sheath's main role is not in transmitting sensory information but rather in facilitating the transmission of nerve impulses. Choice D is incorrect because the myelin sheath's function is not to connect neurons at synapses; instead, it is primarily involved in enhancing the speed of nerve impulse transmission.

2. What do nociceptors detect?

• A. Deep pressure
• B. Vibration
• C. Pain
• D. Temperature

Correct answer: C

Rationale: Nociceptors are specialized sensory receptors that detect and transmit signals related to pain. These receptors are activated by noxious stimuli that can potentially cause tissue damage or injury, triggering the perception of pain in the brain. Therefore, the correct answer is 'Pain.' Choices A, B, and D are incorrect because nociceptors specifically respond to painful stimuli, not deep pressure, vibration, or temperature.

3. Where does fertilization typically occur in the female reproductive system?

• A. uterus
• B. fallopian tube
• C. endometrium
• D. ovary

Correct answer: B

Rationale: Fertilization typically occurs in the fallopian tube, specifically in the ampulla, which is the widest part of the tube. After ovulation, the released egg travels through the fallopian tube where it may encounter sperm for fertilization to take place. The fallopian tube provides the ideal environment for fertilization due to the presence of cilia that help move the egg and sperm towards each other. The uterus is where the fertilized egg will implant and develop into a fetus, not where fertilization occurs. The endometrium is the lining of the uterus that thickens to support a potential pregnancy but is not the site of fertilization. The ovary releases the egg during ovulation but is not where fertilization occurs.

4. Which of the following body systems controls fluid loss, protects deep tissues, and synthesizes vitamin D?

• A. The skeletal system
• B. The muscular system
• C. The lymphatic system
• D. The integumentary system

Correct answer: D

Rationale: The integumentary system is responsible for controlling fluid loss through sweat, protecting deep tissues as the body's first line of defense, and synthesizing vitamin D when exposed to sunlight. The skin, hair, nails, and associated glands make up the integumentary system, which plays a crucial role in maintaining homeostasis and overall health. The skeletal system (Choice A) provides structural support and protection for internal organs but does not directly control fluid loss, protect deep tissues, or synthesize vitamin D. The muscular system (Choice B) is responsible for movement and stability but is not involved in the functions described. The lymphatic system (Choice C) is primarily responsible for immunity and fluid balance, not the specific functions mentioned in the question.

5. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

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