Nursing Elites

1. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

2. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

3. Which of the following statements is true about an allergic reaction?

• A. An allergic reaction, such as hives or wheezing, results from overactive body systems such as the integumentary and respiratory systems.
• B. An allergic reaction is a result of overactive B-cells in the body that release various immunoglobulins.
• C. An allergic reaction is caused by overactive mast cells in the body, which are stimulated by Immunoglobulin E.
• D. An allergic reaction involves substances like histamine, keratin, and collagen.

Correct answer: C

Rationale: The correct answer is C. Mast cells are responsible for releasing histamine and other chemicals during an allergic response. Choice A is incorrect because hives and wheezing are symptoms of an allergic reaction, not the causes. Choice B is incorrect as B-cells are not directly involved in allergic reactions. Choice D is incorrect as keratin and collagen are not typically involved in allergic reactions, and histamine is released by mast cells.

4. How do killer T cells recognize infected cells?

• A. The B cells flag the infected cells with amino acids.
• B. Tiny bits of the virus's RNA are left around the cell.
• C. Macrophages show up to help consume the infected cell.
• D. The T cells have receptors that recognize the proteins the virus leaves on the surface of the cell.

Correct answer: D

Rationale: Killer T cells recognize infected cells by detecting viral proteins displayed on the surface of these cells. The T cells possess receptors specifically designed to identify these viral proteins, allowing them to target and eliminate the infected cells. Choice A is incorrect because B cells are not directly involved in the recognition process of infected cells by killer T cells. Choice B is incorrect because tiny bits of the virus's RNA being left around the cell is not how killer T cells primarily recognize infected cells. Choice C is incorrect because while macrophages play a role in immune responses, they do not directly assist in the recognition of infected cells by killer T cells.

5. Which division of the autonomic nervous system is responsible for the 'rest and digest' response, promoting relaxation and conservation of energy?

• A. Sympathetic nervous system
• B. Parasympathetic nervous system
• C. Somatic nervous system
• D. Central nervous system

Correct answer: B

Rationale: The correct answer is B: Parasympathetic nervous system. The parasympathetic nervous system is responsible for the 'rest and digest' response, promoting relaxation, conserving energy, and facilitating activities like digestion and lowering heart rate. The sympathetic nervous system, which is not the correct answer, triggers the 'fight or flight' response, preparing the body for stressful situations by increasing heart rate, dilating airways, and releasing adrenaline. The somatic nervous system (choice C) controls voluntary movements, not the autonomic functions related to 'rest and digest.' The central nervous system (choice D) includes the brain and spinal cord and is not specifically involved in the autonomic regulation of bodily functions like the 'rest and digest' response.

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