Nursing Elites

1. Which division of the nervous system is responsible for the 'fight or flight' response, preparing the body to respond to stressful situations?

• A. Somatic nervous system
• B. Autonomic nervous system
• C. Peripheral nervous system
• D. Central nervous system

Correct answer: B

Rationale: The autonomic nervous system is correctly identified as the division responsible for the 'fight or flight' response, which readies the body to react to stressful situations. This system regulates involuntary bodily functions, such as heart rate, pupil dilation, and adrenaline release during stress. The somatic nervous system controls voluntary movements and skeletal muscle activity, not the automatic responses seen in the 'fight or flight' reaction. The peripheral nervous system connects the central nervous system to the body's organs and limbs, facilitating communication, while the central nervous system, comprising the brain and spinal cord, serves as the primary control center of the body, integrating and processing information.

2. Which cells myelinate neurons in the PNS?

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

Correct answer: C

Rationale: Schwann cells are the glial cells responsible for myelinating neurons in the peripheral nervous system (PNS). They form the myelin sheath around axons, which helps in the conduction of electrical impulses. Oligodendrocytes, on the other hand, myelinate neurons in the central nervous system (CNS). Astrocytes primarily provide support for neuronal function by regulating the chemical environment around neurons and maintaining the blood-brain barrier. Microglia are part of the immune response in the CNS, where they act as the resident macrophages, playing a role in immune surveillance and response to injury or disease. Therefore, the correct answer is Schwann cells (Choice C) as they specifically myelinate neurons in the PNS, differentiating them from the other cell types mentioned in the choices.

3. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: Physical barriers such as the skin and mucous membranes are crucial components of the innate immune system's first line of defense. These barriers act as physical obstacles that prevent pathogens from entering the body. Antibodies (option A) are produced by the adaptive immune system in response to specific pathogens and do not serve as physical barriers. Phagocytes (option B) are cells that engulf and digest pathogens, playing a role in the innate immune response but not as physical barriers. Memory B cells (option D) are part of the adaptive immune system and aid in mounting a faster and more effective immune response upon subsequent exposure to a specific pathogen, but they are not physical barriers against initial pathogen entry.

4. What is the process in which RNA polymerase copies DNA into RNA, with DNA unwinding and serving as a template while RNA is assembled?

• A. Replication
• B. Transcription
• C. Translation
• D. Duplication

Correct answer: B

Rationale: The correct answer is B: Transcription. Transcription is the process where RNA polymerase reads the DNA template strand and synthesizes RNA, following the base-pairing rules. During transcription, DNA unwinds and serves as a template for the assembly of complementary RNA molecules. Replication (Choice A) is the process of making an identical copy of DNA, not RNA from DNA. Translation (Choice C) is the process of synthesizing proteins from mRNA. Duplication (Choice D) is a general term and does not specifically refer to the process described in the question.

5. When a patient is lying flat on their back, which of the following positions are they in?

• A. Prone.
• B. Supine.
• C. Lateral.
• D. Medial.

Correct answer: B

Rationale: When a patient is lying flat on their back, they are in the supine position. In the supine position, the person's face is facing upward, and their back is touching the surface they are lying on. This position is commonly used for medical examinations and procedures. Choice A, 'Prone,' refers to lying face down, not on the back. Choice C, 'Lateral,' indicates lying on the side. Choice D, 'Medial,' pertains to the middle or center, not a position in relation to lying on the back.

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