Nursing Elites

1. Lysosomes are known as "suicide bags" of the cell. What enzymes do they contain?

• A. Hydrolytic enzymes
• B. Ligases (bonding enzymes)
• C. Transferases (molecule transfer)
• D. Oxidoreductases (redox reactions)

Correct answer: A

Rationale: Lysosomes are membrane-bound organelles containing hydrolytic enzymes responsible for breaking down various macromolecules, cellular waste, and foreign substances. These enzymes perform hydrolysis, a process where water molecules are used to break down larger molecules into smaller components. This function earned lysosomes the nickname 'suicide bags' as they can initiate cell death (apoptosis) by releasing their enzymes when needed. Ligases, transferases, and oxidoreductases are enzymes with different functions such as forming bonds, transferring molecules, and catalyzing redox reactions, respectively, which are not typically found in lysosomes. Therefore, the correct answer is A: 'Hydrolytic enzymes.'

2. Which type of wave requires a medium to travel through?

• A. Electromagnetic waves
• B. Mechanical waves
• C. Sound waves
• D. Both a and c

Correct answer: d

Rationale: Both mechanical waves (such as sound waves) and electromagnetic waves (like light) have different requirements for propagation, but both can travel through a medium.

3. The outermost layer of the skin, providing protection against pathogens and the environment, is the:

• A. Dermis
• B. Epidermis
• C. Hypodermis
• D. Stratum corneum (part of the epidermis)

Correct answer: D

Rationale: The correct answer is D, 'Stratum corneum (part of the epidermis).' The stratum corneum is the outermost layer of the epidermis, consisting of dead skin cells that provide a protective barrier against pathogens and environmental factors. The dermis is located beneath the epidermis and contains connective tissue, nerves, and blood vessels. The hypodermis is the deepest layer of the skin, consisting of fat and connective tissue. Understanding the layers of the skin and their functions is essential for comprehending the skin's role in protecting the body.

4. Which of the following terms refers to a muscle that lengthens while another muscle contracts to produce movement?

• A. Synergist
• B. Agonist
• C. Antagonist
• D. Flexor

Correct answer: C

Rationale: The correct answer is C: Antagonist. In muscle physiology, an antagonist refers to a muscle that lengthens while another muscle contracts to produce movement. This relationship allows for smooth and coordinated movement by controlling the action of the agonist muscle. For example, when you bend your arm, the biceps muscle (agonist) contracts to flex the arm while the triceps muscle (antagonist) lengthens to allow for this movement. Synergists assist the agonist muscle in performing a movement, while flexors are a type of muscle that decreases the angle between bones at a joint. Therefore, the antagonist best fits the description of a muscle that lengthens while another muscle contracts.

5. Which sexually transmitted infection (STI) can potentially cause infertility in both men and women if left untreated?

• A. Human papillomavirus (HPV)
• B. Chlamydia
• C. Gonorrhea
• D. Syphilis

Correct answer: D

Rationale: The correct answer is D: Syphilis. Syphilis is a sexually transmitted infection that can potentially cause infertility in both men and women if left untreated. In men, untreated syphilis can lead to damage to the testicles and epididymis, affecting sperm production. In women, syphilis can result in pelvic inflammatory disease (PID) which can lead to scarring and blockages in the fallopian tubes, causing infertility. While other STIs like chlamydia and gonorrhea can also lead to infertility if left untreated, syphilis is particularly known for its severe impact on reproductive health in both genders.

6. Which of the following is TRUE about functional nursing?

• A. Concentrates on tasks and activities
• B. Emphasizes use of group collaboration
• C. One-to-one nurse-patient ratio
• D. Provides continuous, coordinated and comprehensive nursing services

Correct answer: B

Rationale: The correct answer is B: "Emphasizes use of group collaboration." Functional nursing is a task-oriented approach where team members specialize in specific tasks or activities. In this model, nurses work together in groups to provide care to a larger number of patients efficiently. This differs from the one-to-one nurse-patient ratio (C) and the continuous, coordinated, and comprehensive nursing services (D). While functional nursing concentrates on tasks (A), the key feature emphasized in this care delivery model is the use of group collaboration to provide care effectively.

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