Nursing Elites

1. Melanin, the pigment responsible for skin color, is produced by

• A. Keratinocytes (These cells produce keratin)
• B. Melanocytes
• C. Sebocytes (These cells produce sebum)
• D. Langerhans cells (These cells are part of the immune system)

Correct answer: B

Rationale: The correct answer is B: Melanocytes. Melanin, the pigment responsible for skin color, is produced by melanocytes, which are specialized cells located in the skin's epidermis. Melanocytes transfer melanin to keratinocytes, the predominant cell type in the epidermis, where it provides protection against UV radiation. Sebocytes produce sebum, an oily substance that helps moisturize the skin and hair. Langerhans cells are a type of immune cell that play a role in the skin's immune response. Therefore, the correct answer is B as melanocytes are specifically responsible for producing melanin.

2. What is the significance of the nuclear envelope breaking down during mitosis?

• A. It allows the chromosomes to condense and become visible.
• B. It allows the spindle apparatus to form and attach to the chromosomes.
• C. It allows the sister chromatids to separate.
• D. It allows the nuclear material to be evenly distributed to the daughter cells.

Correct answer: B

Rationale: Rationale: A) The breakdown of the nuclear envelope does not directly cause the chromosomes to condense and become visible. Chromosome condensation is a separate process that occurs before mitosis begins. B) The breakdown of the nuclear envelope is crucial for the formation of the spindle apparatus, a structure made of microtubules that helps separate the chromosomes during cell division. The spindle apparatus attaches to the chromosomes and helps move them to opposite poles of the cell. C) The separation of sister chromatids occurs during anaphase, which is facilitated by the spindle apparatus. The breakdown of the nuclear envelope is not directly involved in this process. D) The even distribution of nuclear material to daughter cells is achieved through the movement of chromosomes by the spindle apparatus, which is made possible by the breakdown of the nuclear envelope.

3. Bile, a yellowish-green fluid, is stored in the gallbladder and released into the small intestine during digestion. What is the primary function of bile in digestion?

• A. Break down carbohydrates
• B. Break down proteins
• C. Emulsify fats
• D. Neutralize stomach acid

Correct answer: C

Rationale: The primary function of bile in digestion is to emulsify fats. Bile contains bile salts that help break down large fat globules into smaller droplets, which increases the surface area for enzymes to work on and aids in the absorption of fats in the small intestine. This process is essential for the digestion and absorption of dietary fats. Bile does not directly break down carbohydrates or proteins, and it is not involved in neutralizing stomach acid, making option C the correct answer.

4. Dense irregular connective tissue, found in tendons and ligaments, provides:

• A. Flexibility
• B. Lubrication
• C. Insulation
• D. Tensile strength

Correct answer: D

Rationale: The correct answer is D: 'Tensile strength.' Dense irregular connective tissue is composed of tightly packed collagen fibers arranged in a random pattern, providing resistance to tension forces. This structural arrangement is ideal for tendons and ligaments, as they need to withstand pulling and stretching forces. 'Flexibility' (A) is more characteristic of elastic fibers, 'Lubrication' (B) is provided by synovial fluid in joints, and 'Insulation' (C) is typically associated with adipose tissue. Therefore, tensile strength is the primary function of dense irregular connective tissue in tendons and ligaments.

5. Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation

• A. Organizational structure
• B. Policy
• C. Job description
• D. Manual of procedures

Correct answer: D

Rationale: The correct answer is D, 'Manual of procedures.' During orientation, Stephanie as a Staff Educator would likely refer to the manual of procedures to provide new employees with detailed instructions on how to perform their job duties. This manual outlines the specific procedures, protocols, and guidelines that employees are expected to follow within the organization. It serves as a valuable resource for new hires to understand the standard operating procedures and expectations within the hospital setting, making it a crucial document to reference during orientation.

6. Ms. Valencia prepares the process standards. Which of the following is NOT a process

• A. Initial assessment shall be done to all patients within twenty four hours upon admission.
• B. Informed consent shall be secured prior to any invasive procedure
• C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
• D. Patient education about their illness and treatment shall be provided for all patients and their

Correct answer: D

Rationale: In this question, Ms. Valencia is tasked with preparing process standards, which are systematic procedures or steps followed to ensure quality care. Options A, B, and C all refer to specific processes that are essential in healthcare: timely assessment, obtaining informed consent, and assessing patient satisfaction. However, option D about providing patient education is more focused on an outcome (patient education) rather than a specific process standard. While patient education is important, the question is asking for a process standard, making option D the correct answer as it does not directly relate to a specific process standard.

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