NCLEX-RN : General Biology

Study concepts, example questions & explanations for NCLEX-RN

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Example Questions

Example Question #11 : Circulatory And Respiratory Systems

Which of the following is a flap of cartilage that covers the opening of the windpipe during swallowing to prevent aspiration?

Possible Answers:

The epiglottis

The tracheal cartilage

The cricoid cartilage

The hyoid

Correct answer:

The epiglottis

Explanation:

The small flap of cartilage that covers the windpipe to prevent aspiration during swallowing is the epiglottis. It is located at the base of the tongue and attached to the entrance of the larynx.

Example Question #1 : Upper Respiratory Tract

Which of the following maintains the lumen of the trachea?

Possible Answers:

Air pressure within the respiratory tract

The cervical spine

The tracheal cartilages

The infrahyoid muscles

Correct answer:

The tracheal cartilages

Explanation:

The lumen of the trachea is maintained by the tracheal cartilages, a set of approximately 20 separate c-shaped rings of hyaline cartilage. The non-continuous cartilage allows for greater flexibility during inspiration and expiration.  

Example Question #1 : Upper Respiratory Tract

Which of the following best describes the epithelium of the trachea?

Possible Answers:

Transitional cells with cilia and goblet cells.

Cuboidal epithelium with cilia and goblet cells.

Pseudostratified columnar cells with cilia and goblet cells.

Stratified squamous epithelium with cilia and goblet cells.

Correct answer:

Pseudostratified columnar cells with cilia and goblet cells.

Explanation:

The epithelium of the trachea is made up of pseudostratified columnar cells with cilia and goblet cells. 

Example Question #3 : Upper Respiratory Tract

What structure is directly posterior to the trachea?

Possible Answers:

The pharynx

The thyroid gland

The cervical spine

The esophagus

Correct answer:

The esophagus

Explanation:

The esophagus is directly posterior to the trachea, and the cervical spine is posterior to the esophagus. The thyroid gland is anterior to the trachea. The pharynx is superior to both the trachea and the esophagus.

Example Question #311 : General Biology

What does the trachea bifurcate into?

Possible Answers:

Left and right primary bronchi

Left and right primary bronchioles

Left and right secondary bronchi

Left and right secondary bronchioles

Correct answer:

Left and right primary bronchi

Explanation:

The trachea bifurcates into the left and right primary bronchi. This occurs at a location called the carina, which is at the level of T4-T5. 

Example Question #21 : Circulatory And Respiratory Systems

A nurse is about to perform an upper respiratory exam on a patient with sinusitis. Which of the following sinuses are inaccessible for assessment by physical exam due to their placement deep within the skull?

Possible Answers:

The ethmoid and sphenoid sinuses

The maxillary and sphenoid sinuses

The maxillary and frontal sinuses

The frontal and ethmoid sinuses

Correct answer:

The ethmoid and sphenoid sinuses

Explanation:

The only sinuses that can be assessed on physical exam are the frontal and maxillary sinuses. The sphenoid and ethmoid sinuses are too deep in the skull to be assessed via physical examination.

Example Question #22 : Circulatory And Respiratory Systems

Which of the following structures is the site of gas exchange in the lung?

Possible Answers:

The bronchus

The bronchiole

The alveolus

The pleura

Correct answer:

The alveolus

Explanation:

Gas exchange in the lung occurs exclusively in the alveoli, the tiny grape-like clusters of sacks at the terminus of the bronchioles of the lung. The gas contained in the larger structures of the lung - the trachea, bronchi, and bronchioles, is termed "dead space" as it does not participate in gas exchange.

Example Question #1 : Gas Exchange

Which of the following is the main trigger for the impulse to breathe?

Possible Answers:

Constriction of the bronchioles

Dilation of the bronchioles

High blood carbon dioxide

Low blood oxygen

Correct answer:

High blood carbon dioxide

Explanation:

The main trigger for the impulse to breathe is high carbon dioxide (decreased blood pH). In response to a decrease in blood pH, the medullary respiratory center triggers the diaphragm and the external intercostal muscles to increase breathing rate.

Example Question #1 : Gas Exchange

Myoglobin can bind with __________ molecule(s) of oxygen, while hemoglobin can bind with __________ molecule(s) of oxygen.

Possible Answers:

three . . . four

one . . . two

two . . . four

one . . . four

Correct answer:

one . . . four

Explanation:

Myoglobin, an oxygen-binding protein in the muscle tissue, can bind with one molecule of oxygen. Hemoglobin, the main oxygen-binding metalloprotein in red blood cells, can bind four molecules of oxygen. 

Example Question #621 : Nclex

Hyperventilation results in which of the following?

Possible Answers:

Ketoacidosis

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Correct answer:

Respiratory alkalosis

Explanation:

While hyperventilation or tachypnea may be triggered by various forms of acidosis, they will not cause a decrease in blood pH, but rather push the blood into a more alkaline state. This occurs due to loss of carbon dioxide during respiration, followed by a compensatory decrease in bicarbonate ions. The result is in an elevation in the pH of the blood. This condition is known as respiratory alkalosis.

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