Nursing Elites

1. The outermost layer of your skin, responsible for waterproofing and providing a barrier against pathogens, is the:

• A. Stratum basale (Basal layer)
• B. Stratum corneum
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B: Stratum corneum. The stratum corneum is the outermost layer of the epidermis, consisting of dead skin cells (corneocytes) that are continuously shed and replaced. This layer is responsible for waterproofing the skin and providing a barrier against pathogens, UV radiation, and other environmental factors. The stratum basale (A) is the deepest layer of the epidermis where new skin cells are produced. The stratum granulosum (C) is the layer of the epidermis where cells begin to flatten and keratinization begins. The stratum spinosum (D) is the layer above the stratum granulosum, where cells become interconnected by desmosomes. Therefore, the stratum corneum is specifically designed to fulfill the functions of waterproofing and protecting against pathogens.

2. Which structure helps regulate body temperature by constricting or dilating in response to temperature changes?

• A. Sebaceous glands
• B. Hair follicles
• C. Sweat glands
• D. Langerhans cells

Correct answer: C

Rationale: The correct answer is C: Sweat glands. Sweat glands play a crucial role in regulating body temperature by producing sweat that evaporates from the skin surface, cooling the body when it's hot. Sweat glands can constrict to reduce sweating in cooler temperatures and dilate to increase sweating when the body needs to cool down. Sebaceous glands are responsible for producing oil to lubricate the skin and hair follicles help in hair growth. Langerhans cells are immune cells in the skin. Therefore, sweat glands are the structure specifically involved in regulating body temperature through constriction and dilation in response to temperature changes.

3. The layer of the skin responsible for new skin cell production is the:

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B: Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis responsible for new skin cell production through cell division. This layer contains stem cells that continuously divide and differentiate into keratinocytes, which eventually migrate to the outer layers of the epidermis. The stratum corneum (option A) is the outermost layer of the epidermis composed of dead skin cells. The stratum granulosum (option C) is the layer above the stratum basale where keratinocytes undergo changes in their structure. The stratum spinosum (option D) is a layer above the stratum basale where cells become interconnected by desmosomes. Therefore, the stratum basale is the primary layer responsible for the production of new skin cells.

4. Which of the following is the best guarantee that the patient’s priority needs are met?

• A. Checking with the relative of the patient
• B. Preparing a nursing care plan in collaboration with the patient
• C. Consulting with the physician
• D. Coordinating with other members of the team

Correct answer: B

Rationale: Preparing a nursing care plan in collaboration with the patient is the best guarantee that the patient's priority needs are met because it involves actively involving the patient in their own care. This approach ensures that the patient's preferences, concerns, and priorities are taken into account when planning their care. Checking with the relative of the patient, consulting with the physician, and coordinating with other team members are important aspects of patient care, but collaborating with the patient directly ensures a patient-centered approach that addresses their individual needs and preferences.

5. What protein complex controls the progression of mitosis through its activation and degradation?

• A. Ribosome
• B. Cyclin-dependent kinase (CDK)
• C. Centriole
• D. Microtubule

Correct answer: B

Rationale: Rationale: A) Ribosome: Ribosomes are cellular organelles responsible for protein synthesis and are not directly involved in controlling the progression of mitosis. B) Cyclin-dependent kinase (CDK): CDKs are a family of protein kinases that regulate the cell cycle, including the progression of mitosis. CDK activity is controlled by cyclins, which bind to CDKs to activate them at specific points in the cell cycle. The activation and degradation of cyclins regulate the activity of CDKs, which in turn control the progression of mitosis. C) Centriole: Centrioles are involved in organizing the microtubules of the mitotic spindle but do not directly control the progression of mitosis. D) Microtubule: Microtubules are structural components of the cytoskeleton and are involved in various cellular processes, including mitosis, but they do not control

6. What is the main function of vacuoles in plant cells?

• A. To provide structural support for the cell
• B. To transport substances in and out of the cell
• C. To synthesize proteins and lipids
• D. To store water, enzymes, and waste products

Correct answer: D

Rationale: Rationale: Vacuoles in plant cells primarily function as storage organelles. They store water, enzymes, pigments, and waste products. Vacuoles help maintain turgor pressure within the cell, which provides structural support for the plant cell. While vacuoles can also be involved in transporting substances within the cell, their main function is storage. Synthesizing proteins and lipids is primarily carried out by other organelles such as the endoplasmic reticulum and Golgi apparatus.

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