Nursing Elites

1. Which statement about white blood cells is true?

• A. B cells are responsible for antibody production.
• B. White blood cells are produced in the bone marrow before entering the bloodstream.
• C. Platelets, a specialized class of blood cells, function to clot blood and stop bleeding.
• D. The majority of white blood cells are active throughout life, providing immunity across all age groups.

Correct answer: A

Rationale: The correct answer is A: B cells, a type of white blood cell, are responsible for producing antibodies in response to pathogens. Antibodies play a crucial role in identifying and neutralizing foreign substances like bacteria and viruses in the body, aiding in the immune response and protecting against infections. This function is essential for maintaining a healthy immune system. White blood cells, including B cells, are produced in the bone marrow before entering the bloodstream. Platelets, not white blood cells, are a specialized class of blood cells that function to clot blood and stop bleeding. While white blood cells provide immunity, not all of them are active throughout life as some have specific lifespans and functions.

2. The van't Hoff factor (i) accounts for the number of particles a solute dissociates into in solution. For a compound that dissociates completely in water, i would be...

• A. 0
• B. Less than 1
• C. 1
• D. More than 1

Correct answer: D

Rationale: The van't Hoff factor (i) represents the number of particles a solute dissociates into in solution. For a compound that dissociates completely in water, i would be more than 1 because it breaks apart into more particles than the original compound. This is due to complete dissociation leading to an increase in the number of particles in solution, resulting in i being greater than 1. Choice A is incorrect as a compound that dissociates completely will not have an i value of 0. Choice B is incorrect because when a compound dissociates completely, the van't Hoff factor is not less than 1. Choice C is incorrect as a compound that dissociates completely will not have an i value of 1, but rather more than 1 due to the increased number of particles in solution.

3. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

4. Which of the following describes a reflex arc?

• A. The storage and recall of memory
• B. The maintenance of visual and auditory acuity
• C. The autoregulation of heart rate and blood pressure
• D. A stimulus and response controlled by the spinal cord

Correct answer: D

Rationale: Choice D correctly describes a reflex arc. A reflex arc is a neural pathway that controls a reflex action. It involves a specific sequence of events that occur in response to a stimulus, which is rapidly and involuntarily processed by the spinal cord. The spinal cord coordinates the quick processing of sensory input and the generation of a motor response without involving the brain, allowing for rapid protective responses. Choices A, B, and C are incorrect because they do not accurately describe a reflex arc. A reflex arc is specifically related to the rapid and involuntary response to a stimulus through neural pathways involving the spinal cord, not memory storage, visual and auditory acuity maintenance, or heart rate and blood pressure autoregulation.

5. What are the four types of cells in the gastric glands of the stomach mucosa?

• A. Endocrine, parietal, chief, mucous cells
• B. Parietal, mucous, goblet, endocrine cells
• C. Chief, parietal, goblet, lymphoid cells
• D. Goblet, lymphoid, parietal, chief cells

Correct answer: A

Rationale: The correct answer is A: Endocrine, parietal, chief, mucous cells. In the gastric glands of the stomach mucosa, the four types of cells are endocrine (producing hormones), parietal (secreting acid and intrinsic factor), chief (responsible for producing digestive enzymes), and mucous cells (providing protection to the stomach lining). These cells play essential roles in the digestive processes and maintaining the health of the stomach mucosa. Choices B, C, and D are incorrect because they do not accurately represent the types of cells found in the gastric glands of the stomach mucosa. Parietal cells secrete acid and intrinsic factor, chief cells produce digestive enzymes, and mucous cells provide protection, making these the correct choices in the context of gastric gland cellular composition.

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