A mother and two young children are found passed out in their apartment, where a space heater is on. Emergency medical technicians suspect carbon monoxide poisoning. Why is carbon monoxide dangerous?
It causes extreme depression of the respiratory rate.
It drastically decreases the pH of the blood.
It binds to the oxygen-binding site on hemoglobin, so the O2-carrying ability of the blood is reduced.
It triggers hyperventilation, causing a severe drop in PCO2 and increase in blood pH.
The Correct Answer is C
A. It causes extreme depression of the respiratory rate: CO binds hemoglobin and impairs O₂ delivery; respiratory depression is not the primary danger
B. It drastically decreases the pH of the blood: CO poisoning does not primarily cause a dramatic blood pH drop
C. It binds to the oxygen-binding site on hemoglobin, so the O₂-carrying ability of the blood is reduced: CO binds avidly to hemoglobin’s heme sites, displacing O₂ and reducing oxygen carriage and delivery
D. It triggers hyperventilation, causing a severe drop in PCO₂ and increase in blood pH: Hyperventilation is not the main mechanism of CO toxicity
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. IgD: IgD is mainly a B-cell receptor on naïve B cells and is not the dominant secretory antibody in mucosal secretions or breast milk.
B. IgA: Secretory IgA is abundant in breast milk (colostrum) and mucosal secretions (tears, saliva, nasal fluid) and helps protect infants’ mucosal surfaces from pathogens.
C. IgE: IgE is involved in allergy and parasitic defense and is not the primary protective antibody in breast milk or mucosal secretions.
D. IgM: IgM is the first antibody produced in primary responses and is mainly intravascular; it is not the dominant secretory antibody passed in milk.
Correct Answer is D
Explanation
A. The presence of antibodies triggers the production of antigens: antibodies are produced in response to antigens, not the other way around.
B. Antibodies can be foreign cells, proteins, or other large molecules. Antigens are large proteins made by B cells: this reverses definitions: antigens are foreign molecules/cells that stimulate immune response; antibodies are proteins produced (by B cells) that bind antigens.
C. Antigens function to destroy or neutralize antibodies: antigens elicit antibody production; they do not act to destroy antibodies.
D. The presence of an antigen triggers the production of antibodies: antigens (foreign proteins, polysaccharides, cells) stimulate B cells to differentiate into plasma cells that produce specific antibodies.
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