Nursing Elites

1. Which of the following distinguishes the isotopes of an element?

• A. Isotopes are atoms of the same element that have different ionic charges.
• B. Isotopes are atoms of elements within the same group on the periodic table.
• C. Isotopes are atoms of the same element that have different numbers of neutrons.
• D. Isotopes are atoms of the same element with different electron configurations.

Correct answer: C

Rationale: Isotopes are defined as atoms of the same element that have the same number of protons in their nucleus but different numbers of neutrons. This leads to variations in atomic mass for isotopes of an element. The different number of neutrons in isotopes results in differences in their atomic mass and properties while still belonging to the same element. Choice A is incorrect because isotopes do not have different ionic charges, they have the same chemical properties. Choice B is incorrect because isotopes are not atoms of elements within the same group on the periodic table; they are variants of the same element. Choice D is incorrect because isotopes of an element have the same electron configuration, differing only in the number of neutrons in the nucleus.

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. What is the body's primary defense against pathogens?

• A. Phagocytes
• B. Antibodies
• C. Memory B cells
• D. T lymphocytes

Correct answer: A

Rationale: The correct answer is A: Phagocytes. Phagocytes are the body's first line of defense against pathogens. They are innate immune cells that engulf and digest foreign particles like bacteria and viruses, preventing infections. Phagocytes act as the initial barrier to invading pathogens and are part of the innate immune response. Choice B, Antibodies, are produced by B cells in the adaptive immune response. Choice C, Memory B cells, are also part of the adaptive immune response and provide a faster and stronger response upon re-exposure to pathogens. Choice D, T lymphocytes, are part of the adaptive immune response, particularly involved in cell-mediated immunity.

4. Which hormone, produced by the thyroid gland, regulates calcium levels in the blood by enhancing calcium absorption in the intestines and reducing calcium loss in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin is the hormone produced by the thyroid gland that regulates calcium levels in the blood. It enhances calcium absorption in the intestines and reduces calcium loss in the kidneys. Parathyroid hormone (PTH) operates oppositely to calcitonin by increasing calcium levels in the blood. Thyroxine is a thyroid gland hormone that primarily regulates metabolism, not calcium levels. Insulin, produced by the pancreas, is responsible for controlling blood sugar levels, not calcium levels. Therefore, the correct answer is Calcitonin as it specifically targets calcium regulation in the body.

5. What type of muscle is found in the walls of the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle is the specialized muscle found in the walls of the heart. It contracts involuntarily to pump blood throughout the body, ensuring circulation. Smooth muscle is typically found in organs like the intestines and blood vessels, aiding in their functions. Skeletal muscle is attached to bones and plays a vital role in movement and posture. Voluntary muscle is a general term for skeletal muscles that are under conscious control, unlike cardiac muscle which contracts involuntarily to maintain the heart's continuous pumping action.

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