Nokea
Fick's law of diffusion is related to
- A. Diffusion and Surface area
- B. Diffusion and membrane potential
- C. Diffusion and water content
- D. Diffusion and pore diameter
Correct Answer: A
Rationale: Fick's law of diffusion states that the rate of diffusion is directly proportional to the surface area and concentration gradient, and inversely proportional to the distance over which diffusion occurs. Therefore, Choice A - Diffusion and Surface area is correct because surface area directly affects the rate of diffusion. Choices B, C, and D are incorrect as they do not directly relate to Fick's law. B is incorrect as membrane potential is not a factor in Fick's law. C is incorrect as water content is not a key factor in the law of diffusion. D is incorrect as pore diameter is not explicitly mentioned in Fick's law.
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The last mammalian structure that air moves through before the alveoli is the
- A. larynx.
- B. glottis.
- C. bronchioles.
- D. trachea.
Correct Answer: C
Rationale: The correct answer is C: bronchioles. After air passes through the trachea, it enters the bronchi, which further divide into bronchioles. The bronchioles are the last structures where air passes before reaching the alveoli for gas exchange. The larynx is involved in sound production and the glottis is the opening between the vocal cords in the larynx. While the trachea is the initial passage for air into the respiratory system, the bronchioles are the final branching structures where air reaches the alveoli, making them the correct answer.
Sputum specimens are examined to detect which of the following?
- A. Foreign bodies
- B. Cancer cells
- C. Pulmonary emboli
- D. Inflammation
Correct Answer: B
Rationale: The correct answer is B. Sputum specimens are often examined for cancer cells in cases of suspected lung cancer. While foreign bodies (A) can sometimes be identified, they are less common in routine sputum analysis. Pulmonary emboli (C) cannot be detected via sputum examination; imaging studies are required. Inflammation (D) may be inferred from white blood cell counts, but detecting cancer cells is more specific and clinically significant.
How much does the inspired O2 concentration have to be raised to abolish the hypoxaemia?
- A. 5%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: B
Rationale: The correct answer is B (7%). To abolish hypoxemia, inspired O2 concentration needs to be increased sufficiently to raise arterial oxygen levels. A 7% increase is generally effective in achieving this without causing oxygen toxicity. Choices A, C, and D are incorrect because a 5% increase may not be enough to abolish hypoxemia, a 10% increase can lead to oxygen toxicity, and a 15% increase is excessive and unnecessary for treating hypoxemia. Therefore, option B is the most appropriate and balanced choice for addressing hypoxemia effectively.
A sensitized B cell is activated once:
- A. it binds a helper T cell that releases cytokines.
- B. it binds a cytotoxic T cell.
- C. memory B cells have been cloned.
- D. it has cloned plasma cells.
Correct Answer: A
Rationale: The correct answer is A because a sensitized B cell requires activation by a helper T cell releasing cytokines to undergo differentiation and proliferation into plasma cells. This interaction is crucial for initiating the humoral immune response. Choices B, C, and D are incorrect because binding to a cytotoxic T cell, cloning of memory B cells, or cloning of plasma cells do not directly activate a sensitized B cell for its function in producing antibodies.
A nurse is caring for an older adult client who has a pulmonary infection. Which action should the nurse take first?
- A. Encourage the client to increase fluid intake.
- B. Assess the client's level of consciousness.
- C. Raise the head of the bed to at least 45 degrees.
- D. Provide the client with humidified oxygen.
Correct Answer: B
Rationale: The correct action for the nurse to take first is to assess the client's level of consciousness (Choice B) because it is essential to determine the client's current neurological status and mental acuity, which can indicate the severity of the infection and the need for immediate interventions. Assessing consciousness helps in identifying any signs of respiratory distress or potential complications. Encouraging fluid intake (Choice A) is important but not the priority when the client's respiratory status is uncertain. Raising the head of the bed (Choice C) is beneficial for improving oxygenation but should come after assessing the client's consciousness. Providing humidified oxygen (Choice D) is important for respiratory support but should be based on the assessment findings.