Nursing Elites

1. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

2. A ball is thrown horizontally off a cliff. Which of the following forces is responsible for its downward motion?

• A. The force of throwing
• B. Normal force from the air
• C. Tension force from the string (if used)
• D. Gravitational force

Correct answer: D

Rationale: The gravitational force is responsible for the downward motion of the ball. When the ball is thrown horizontally off a cliff, the only force acting on it in the vertical direction is the force of gravity, which pulls the ball downward towards the ground. The other forces mentioned (force of throwing, normal force from the air, tension force from the string) do not contribute to the ball's downward motion in this scenario. The force of throwing initiates the horizontal motion, the normal force from the air opposes the ball's motion through air resistance, and tension force from the string would only be relevant if a string were attached to the ball. Therefore, gravitational force is the primary force responsible for the ball's downward motion in this situation.

3. Differentiate between the digestive and respiratory systems.

• A. Mouth
• B. Stomach
• C. Small intestine
• D. Lungs

Correct answer: D

Rationale: The correct answer is D - Lungs. The mouth, stomach, and small intestine are all components of the digestive system, which is responsible for breaking down food into nutrients that the body can absorb. On the other hand, the lungs are part of the respiratory system, which facilitates the exchange of oxygen and carbon dioxide between the body and the environment through breathing. While the digestive system processes food for energy and nutrients, the respiratory system is primarily focused on the exchange of gases necessary for cellular respiration. Choices A, B, and C are incorrect as they are all organs associated with the digestive system and do not pertain to the respiratory system.

4. Which of the following accurately describes saltatory conduction?

• A. It is faster than normal nerve conduction
• B. It occurs from one node of Ranvier to the next
• C. It only occurs in myelinated neurons
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Saltatory conduction is faster than normal nerve conduction, occurs from one node of Ranvier to the next, and is exclusive to myelinated neurons. This form of conduction allows for the rapid transmission of nerve impulses by the action potential jumping between the nodes of Ranvier in myelinated neurons, enhancing the efficiency of signal propagation along the axon. Choice A is correct as saltatory conduction is indeed faster than normal conduction. Choice B is accurate as it describes the mechanism of conduction 'jumping' from one node of Ranvier to the next. Choice C is correct because saltatory conduction occurs specifically in myelinated neurons where the myelin sheath insulates the axon except at the nodes of Ranvier, facilitating faster transmission of nerve impulses.

5. 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.

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