Nursing Elites

1. Fingernails and toenails are made primarily of:

• A. Collagen (Collagen is found in the dermis)
• B. Keratin
• C. Melanin (Melanin provides pigment, not structure)
• D. Sebum (Sebum is an oily substance)

Correct answer: B

Rationale: The correct answer is B: Keratin. Fingernails and toenails are primarily made of a tough protein called keratin. Keratin is a fibrous structural protein that also makes up hair and the outer layer of skin. Collagen, as mentioned in option A, is found in the dermis of the skin and is responsible for providing strength and elasticity to the skin. Melanin, as in option C, is a pigment that gives color to the skin, hair, and eyes, but it does not contribute to the structure of nails. Sebum, as in option D, is an oily substance produced by the sebaceous glands in the skin to moisturize and protect the skin, but it is not a component of nails.

2. Which part of the respiratory system is responsible for gas exchange between the blood and inhaled air?

• A. Trachea
• B. Larynx
• C. Alveoli
• D. Pharynx

Correct answer: C

Rationale: The correct answer is C, 'Alveoli.' The alveoli are tiny air sacs located at the end of the bronchioles in the lungs where gas exchange occurs. Oxygen from the inhaled air diffuses through the thin walls of the alveoli and into the bloodstream, while carbon dioxide from the blood diffuses into the alveoli to be exhaled. The trachea (A) is the windpipe that carries air to and from the lungs; the larynx (B) contains the vocal cords and helps with swallowing; and the pharynx (D) is the part of the throat that connects the mouth and nasal cavity to the esophagus and trachea, but it is not directly involved in gas exchange.

3. Which of the following structures is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The correct answer is D, the mitral valve. The mitral valve, also known as the bicuspid valve, is located between the left atrium and the left ventricle. Its main function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. The aortic valve (A) is responsible for preventing the backflow of blood from the aorta into the left ventricle, the pulmonary valve (B) prevents backflow from the pulmonary artery into the right ventricle, and the tricuspid valve (C) prevents backflow from the right ventricle into the right atrium. Therefore, the mitral valve is specifically responsible for preventing backflow in the left side of the heart, making it the correct answer in this case.

4. What is the unit of measurement for force in the International System of Units (SI)?

• A. Newton (N)
• B. Kilogram (kg)
• C. Joule (J)
• D. Meter per second squared (m/s²)

Correct answer: a

Rationale: Force is measured in Newtons (N) in the SI system.

5. A person who carries a pathogen but does not exhibit any symptoms is considered:

• A. Asymptomatic carrier
• B. Opportunistic pathogen
• C. Nosocomial infection
• D. Vector-borne disease

Correct answer: A

Rationale: Rationale: An asymptomatic carrier is a person who carries a pathogen (such as a virus or bacterium) but does not show any symptoms of the infection themselves. Despite not exhibiting symptoms, asymptomatic carriers can still spread the pathogen to others, potentially causing illness in those who come into contact with them. This term specifically refers to individuals who are infected but do not develop symptoms, distinguishing them from symptomatic carriers who do show signs of the infection. Option A is the most appropriate choice in this context as it accurately describes a person who carries a pathogen without displaying symptoms. B) Opportunistic pathogen: This term refers to pathogens that typically do not cause disease in healthy individuals but can become pathogenic in individuals with weakened immune systems. C) Nosocomial infection: This term refers to infections that are acquired in a hospital or healthcare facility. D) Vector-borne disease: This term refers to diseases

6. One staff suggests that they review the pattern of nursing care that they are using, which is

• A. job description
• B. system used to deliver care
• C. manual of procedure
• D. rules to be followed

Correct answer: B

Rationale: The correct answer is B: 'system used to deliver care.' When a staff member suggests reviewing the pattern of nursing care being used, they are referring to the overall system or method in place for delivering care to patients. This includes the processes, protocols, and techniques used to provide nursing care. It goes beyond just following a job description, manual of procedure, or rules. By evaluating and potentially revising the system used to deliver care, staff can ensure that best practices are in place to provide high-quality and effective care to patients.

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