NCLEX : NCLEX

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #581 : Nclex

Which of the following is not an effect of insulin?

Possible Answers:

Increases glycogen synthesis

Increases protein synthesis

Increases uptake of potassium ions

Triggers lipolysis

Correct answer:

Triggers lipolysis

Explanation:

Insulin has many physiological effects on metabolism. It increases uptake of glucose and various ions, especially potassium, from the blood. It promotes glycogen and protein synthesis, and encourages storage of fats. Conversely, insulin inhibits lipolysis, gluconeogenesis, ketogenesis, and proteolysis.

Example Question #582 : Nclex

Which of the following is the primary immunoglobulin secreted into the intestinal lining and mucus membranes of the respiratory tract?

Possible Answers:

IgG

IgA

IgM

IgE

Correct answer:

IgA

Explanation:

IgA, primarily in its secretory form (sIgA), is the most abundant immunoglobulin in the lining of the gastrointestinal tract and in the mucus membranes of the respiratory tract. It is also present in the urogenital tract, in tears, in saliva, and in breast milk. All of the other immunoglobulins may be present in mucus membranes, depending on the presence of active infection or allergy, but none is as abundant in secretions as IgA. IgE is primarily involved in binding allergens and inducing the allergic response via release of histamine. IgM is expressed on the surface of B cells and is the first immunoglobulin to fight pathogens at the site of infection/injury. IgG are the most abundant antibody throughout the body and play the largest role in fighting pathogens. IgG can cross the placenta and thus confer passive immunity to the fetus. 

Example Question #583 : Nclex

The presence of which of the following cytomegalovirus (CMV) antibodies would suggest an active CMV infection?

Possible Answers:

CMV IgD

CMV IgG

CMV IgE

CMV IgM

Correct answer:

CMV IgM

Explanation:

The presence of CMV IgM would suggest an active cytomegalovirus infection, as IgM is the immunoglobulin released during the initial, active infection with a pathogen. The presence of IgG would suggest a past infection, where IgG specific to the virus would be present as part of adaptive immunity (ready to respond to the virus should the host ever be re-exposed). IgE is not formed when an individual contracts CMV, as IgE is produced in response to allergens rather than pathogens (except parasites). The function of IgD is thought to be related to the allergic response by regulating basophils and mast cells.

Example Question #583 : Nclex

Which of the following is the only immunoglobulin capable of crossing the placenta and conferring passive immunity to a fetus?

Possible Answers:

IgA

IgM

IgG

IgE

Correct answer:

IgG

Explanation:

The only immunoglobulin that has been shown to be able to cross the placenta is IgG. This is important in that it confers short term immunity to the fetus that continues into the first few months of the infant's life. Note that it is common to give Rh-negative anti-Rh IgG injections at about 28 weeks gestation; a booster may also be given at about 34 weeks gestation.

Example Question #584 : Nclex

Which cells of the pancreas produce insulin?

Possible Answers:

Alpha cells

Gamma cells

Delta cells

Beta cells

Correct answer:

Beta cells

Explanation:

Insulin is produced by beta cells of the pancreatic islets. Insulin's action is to decrease blood glucose, facilitating its uptake into cells. Alpha cells produce glucagon, which has the opposite effect as insulin. Delta cells produce somatostatin, which inhibits many digestive processes. and gamma cells produce pancreatic polypeptide, which regulate pancreatic secretion. 

Example Question #582 : Nclex

Where in the human body is the pituitary located? 

Possible Answers:

Above the kidneys

Under the hypothalamus

Attached to the pancreas

In the brainstem

Behind the thyroid

Correct answer:

Under the hypothalamus

Explanation:

The pituitary is located just below the hypothalamus. The pituitary and the hypothalamus are connected by nerves and maintain an important working relationship with one another. Both are located near the base of the brain. 

Example Question #281 : General Biology

Which of the following cytokines acts as a chemoattractant for neutrophils?

Possible Answers:

Interleukin-6

Tumor necrosis factor-alpha

Interleukin-8

Interleukin-1

Correct answer:

Interleukin-8

Explanation:

Interleukins (IL) are cytokines that play a role in signaling the immune cells. IL-8 is produced mainly by macrophage and dendritic cells and plays a major role in inflammation as a chemoattractant for neutrophils. IL-1 and IL-6 both induce acute phase proteins. TNF-alpha is involved in the acute phase reaction. It is an endogenous pyrogen (meaning it induces fever) and is also involved in apoptosis and tumor inhibition. 

Example Question #1 : Other Immune Physiology

What antibacterial proteins are contained in tears?

Possible Answers:

Defensin-5

DEFA1

Lysozymes

Cathelicidin

Correct answer:

Lysozymes

Explanation:

Lysozymes are a group of defense enzymes found in tears, saliva, mucus, and breast milk. It is considered part of our innate immune systems, as its presence in tears prevents infectious conjunctivitis. Cathelicidin, Defensin-5, and DEFA1 are found in the lysosomes of polymorphonuclear leukocytes (PMN's) and macrophages.

Example Question #2 : Other Immune Physiology

All of the following cells express major histocompatibility complex 1 (MHC-1) except __________.

Possible Answers:

Hepatic cells

Epithelial cells

Red blood cells

Neutrophils

Correct answer:

Red blood cells

Explanation:

Major histocompatibility complex 1 in a membrane protein that binds to peptide fragments from pathogens such as viruses and bacteria and then displays them on the cell surface in order to alert other immune cells of the presence and nature of infection.

All cells with nuclei express MHC-1. Red blood cells do not have nuclei, and do not express MHC-1 on membranes.

Example Question #2 : Other Immune Physiology

Which of the following cells produce antibodies?

Possible Answers:

T cells

B cells

Natural killer cells

All of these

Correct answer:

B cells

Explanation:

Antibodies are only produced by B cells, specifically by a type of specialized B cell called a plasma cell. B cells belong to a broader category of leukocytes known as lymphocytes, which are agranulocytes.

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