Nursing Elites

1. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

2. The hypothalamus, a part of the brain, plays a crucial role in endocrine regulation. It secretes GnRH (Gonadotropin-releasing hormone) which stimulates the pituitary gland to produce FSH and LH. What is the MAIN function of FSH and LH?

• A. Regulate blood sugar levels
• B. Control growth and development
• C. Stimulate the fight-or-flight response
• D. Maintain calcium homeostasis

Correct answer: B

Rationale: FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone) are hormones produced by the pituitary gland in response to GnRH from the hypothalamus. FSH plays a key role in the growth and development of ovarian follicles in females and sperm production in males. LH is essential for the maturation of the ovarian follicle, ovulation, and the formation of the corpus luteum in females, as well as the production of testosterone in males. Therefore, the main function of FSH and LH is to control growth and development in the reproductive system. Choices A, C, and D are incorrect as they do not align with the roles of FSH and LH in reproductive physiology. Regulating blood sugar levels is primarily the function of insulin and glucagon, controlling the fight-or-flight response involves hormones like adrenaline and noradrenaline, and maintaining calcium homeostasis is mainly regulated by parathyroid hormone and calcitonin.

3. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

4. After a person eats birthday cake, which of the following enzymes is needed to break down the sucrose in the cake?

• A. Lactase
• B. Maltase
• C. Peptidase
• D. Sucrase

Correct answer: D

Rationale: Sucrase is the correct enzyme needed to break down sucrose into its component sugars, glucose, and fructose. Lactase is responsible for breaking down lactose, maltase for maltose, and peptidase for proteins; therefore, they are not the enzymes required to digest sucrose specifically. In the context of digesting birthday cake, which contains sucrose, sucrase is the enzyme needed for this particular sugar.

5. In meiosis, how many divisions occur, and how many daughter cells are produced?

• A. One division, two daughter cells
• B. Two divisions, four daughter cells
• C. Four divisions, eight daughter cells
• D. Eight divisions, sixteen daughter cells

Correct answer: B

Rationale: In meiosis, there are two divisions: meiosis I and meiosis II. During meiosis I, homologous chromosomes separate, resulting in two daughter cells with half the number of chromosomes as the parent cell. In meiosis II, sister chromatids separate, resulting in a total of four daughter cells, each with a haploid set of chromosomes. Therefore, meiosis involves two divisions and produces four daughter cells. Choice A is incorrect because meiosis involves two divisions, not one. Choice C and D are incorrect as meiosis does not go through four or eight divisions, resulting in eight or sixteen daughter cells.

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