Nursing Elites

1. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

2. What happens to the diaphragm during inspiration?

• A. It moves upward
• B. It moves downward
• C. It expands
• D. It contracts and moves downward

Correct answer: D

Rationale: During inspiration, the diaphragm contracts and moves downward. This action increases the volume of the thoracic cavity, which lowers the air pressure inside the lungs, allowing air to flow in. The downward movement and contraction of the diaphragm create the necessary space for the lungs to expand and fill with air. Choice A, 'It moves upward,' is incorrect as the diaphragm moves downward. Choice B, 'It moves downward,' is partially correct but misses the contraction aspect. Choice C, 'It expands,' is incorrect as the diaphragm itself does not expand during inspiration. Therefore, choice D, 'It contracts and moves downward,' is the most accurate description of the diaphragm's action during inspiration.

3. What is the function of the endocrine system?

• A. To protect the body from infection
• B. To release digestive enzymes
• C. To break down food
• D. To regulate the sleep-wake cycle

Correct answer: B

Rationale: The correct answer is B. The endocrine system releases hormones that regulate various functions, including metabolism and growth. It is responsible for producing and releasing hormones that control processes such as metabolism, growth, and development. The digestive enzymes are released by the digestive system, not the endocrine system. Choices A, C, and D are incorrect because protecting the body from infection is primarily the role of the immune system, breaking down food is the function of the digestive system, and regulating the sleep-wake cycle is controlled by the circadian rhythm which is mainly influenced by the brain's hypothalamus and not the endocrine system.

4. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

5. Which of the following is a dense, interconnected mass of nerve cells located outside the central nervous system?

• A. ganglion
• B. dendrite
• C. cranial nerve
• D. pons

Correct answer: A

Rationale: A ganglion is a dense, interconnected mass of nerve cells located outside the central nervous system. Ganglia serve as relay points where nerve cells communicate and integrate signals. They are found along peripheral nerves, processing sensory information and coordinating motor responses. Choice B, dendrite, refers to a part of a neuron that receives signals, not a mass of nerve cells. Choice C, cranial nerve, is a bundle of nerves that emerge from the brain, not a mass of nerve cells. Choice D, pons, is a part of the brainstem, which is within the central nervous system, not located outside of it.

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