Nursing Elites

1. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

2. Which term describes the allele for green eyes?

• A. Dominant
• B. Recessive
• C. Homozygous
• D. Heterozygous

Correct answer: B

Rationale: The correct answer is 'B: Recessive.' In genetics, eye color is determined by multiple genes, with green eyes often being associated with a recessive allele. When an individual carries two copies of the recessive allele for green eyes, they will express this eye color. Dominant alleles are expressed over recessive alleles. Homozygous refers to having two identical alleles for a particular gene, and heterozygous refers to having two different alleles. In this context, the allele for green eyes is recessive, meaning it is expressed only when an individual carries two copies of this specific allele. Therefore, 'Recessive' is the most appropriate term to describe the allele for green eyes, making it the correct answer.

3. What is the role of the diaphragm in respiration?

• A. To regulate air pressure in the lungs
• B. To contract and expand the lungs
• C. To store oxygen
• D. To break down carbon dioxide

Correct answer: B

Rationale: The correct answer is B. The diaphragm plays a crucial role in respiration by contracting and expanding the lungs. When the diaphragm contracts, it moves downward, creating more space in the chest cavity and allowing the lungs to expand. This expansion leads to a decrease in pressure inside the lungs, causing air to rush in. When the diaphragm relaxes, it moves back up, decreasing the space in the chest cavity and causing the lungs to deflate. This action increases the pressure in the lungs, leading to air being pushed out. Therefore, the diaphragm's main function is to facilitate the inhalation and exhalation of air by contracting and expanding the lungs. Choices A, C, and D are incorrect because the diaphragm's primary function is not to regulate air pressure in the lungs, store oxygen, or break down carbon dioxide. Instead, its main purpose is to aid in the mechanical process of breathing.

4. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

5. Which type of carbohydrate is the main component of the cell wall in plant cells?

• A. Starch
• B. Glucose
• C. Cellulose
• D. Chitin

Correct answer: C

Rationale: The correct answer is 'Cellulose.' Cellulose is the main component of the cell wall in plant cells, providing structural support and rigidity. Starch, while a carbohydrate, is a storage form of glucose in plants and not a component of the cell wall. Glucose is a simple sugar that can be used as an energy source but is not the main component of the cell wall. Chitin is a structural carbohydrate found in the exoskeleton of arthropods and fungi, not in plant cell walls.

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