All NCLEX-PN Resources
Example Questions
Example Question #42 : Circulatory And Respiratory Systems
A patient has a 49 year history of hypertension. Which part of the heart would be most enlarged on echocardiogram?
Pulmonary artery
Right ventricle
Right atrium
Left atrium
Left ventricle
Left ventricle
The left ventricle is the most commonly enlarged heart structure seen in chronic hypertension. The left ventricle must overcome the afterload of the arterial system by becoming hypertrophied. As a result, the heart gets remodeled to overcome the systemic high blood pressures. The left ventricle directly pumps blood from the heart to the systemic circuit.
Example Question #44 : Circulatory And Respiratory Systems
What organ of the lymphatic system is the site of T-cell maturation?
The cisterna chyli
The spleen
The thymus
The lymph nodes
The thymus
T-cell maturation occurs in the thymus, a small organ located in the upper part of the mediastinum, between the heart and the sternum. Mature T cells then may either circulate in the lymph or blood or reside in lymph nodes. The spleen is not a site of T cell maturation, though it does have other important immune functions, such as the production of antibodies and the removal of antibody-coated pathogens. The cisterna chyli is a part of the lymphatic system that is involved in lipid digestion.
Example Question #45 : Circulatory And Respiratory Systems
Digestive fat is absorbed through what specialized lymphatic vessels of the small intestine?
The cisterna chyli
Microvilli
Lacteals
Villi
Lacteals
Dietary fat is absorbed via lacteals, small lymph vessels contained within the body of the intestinal villi. Microvilli, tiny projections covering the surface of the villi, help with the absorption of minerals, vitamins, and other micronutrients. The cisterna chyli is a dilated pouch at the lower end of the thoracic duct that serves as a collection point for fatty chyle from the intestinal lacteals.
Example Question #46 : Circulatory And Respiratory Systems
Which of the following is not a function of the lymphatic system?
Lymphocyte transport and activation
Secondary gas exchange
Absorption and transportation of dietary fats
Draining of interstitial fluid from tissues
Secondary gas exchange
The lymphatic system has several roles in the body, including drainage of interstitial fluid from tissues, transportation and activation of lymphocytes, and absorption and transportation of dietary fats. Red blood cells, however, are unable to enter lymph vessels, and so the lymphatic system does not participate in any type of gas exchange.
Example Question #47 : Circulatory And Respiratory Systems
Example Question #48 : Circulatory And Respiratory Systems
Every heme group in hemoglobin encloses an atom of what element?
Copper
Iron
Chromium
Magnesium
Iron
Each heme group in hemoglobin encloses a single iron atom in the center of a protoporphyrin, a tetrapyrrol composed of four pyrrole rings linked together by four methyl groups, two vinyl groups, a methane bridge, and two propinoic acid side chains.
Example Question #49 : Circulatory And Respiratory Systems
What is the average lifespan of an erythrocyte?
4 months
6 months
3 months
6 weeks
4 months
The average lifespan of a red blood cell is 4 months, after which it is phagocytosed by macrophages the spleen, liver, or lymph nodes. White blood cells, on the other hand, live for only about 3-4 days.
Example Question #641 : Nclex
What hormone stimulates the casting of new red blood cells?
Luteinizing hormone
Erythropoietin
Thyroxine
Vasopressin
Erythropoietin
The casting of new red blood cells is stimulated by the hormone erythropoietin (EPO), released from the kidneys. Recall that all blood cells are made in the bone marrow. This hormone may increase as much as 1000 fold in times of oxidative stress.
Thyroxine is T4, the most biologically active form of thyroid hormone. Vasopressin, or anti-diuretic hormone, is part of the body's fluid-balance system. Luteinizng hormone is a hormone of the reproductive tract: in females it triggers ovulation, while in males it stimulates Leydig cells to produce testosterone.
Example Question #642 : Nclex
Where is erythropoietin produced?
Supraoptic and paraventricular cells of the hypothalamus
Zona fasciculata cells of the adrenal glands
Peritubular interstitial cells of the kidney
Lactotroph cells in the pituitary gland
Peritubular interstitial cells of the kidney
Erythropoietin is produced by the peritubular interstitial cells of the kidney. These cells are very sensitive to tissue oxygen pressure. When oxygen demand increases, erythropoietin is released, stimulating the casting (hematopoiesis) of new red blood cells in bone marrow.
Supraoptic and paraventricular cells of the hypothalamus are the site of vasopressin (antidiuretic hormone) production. Lactotroph cells in the pituitary gland are responsible for the production of prolactin. Zona fasciculata cells of the adrenal glands produce cortisol.
Example Question #343 : General Biology
Neutrophils make up what percent of white blood cells in the blood?
20-35%
2-6%
55-70%
70-90%
55-70%
Neutrophils are the most common type of white blood cell, making up 55-70% of the total white blood cell population in the average blood sample.