Nursing Elites

1. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins, and gram-positive bacteria produce exotoxins rather than endotoxins. Parasites are not typically associated with the production of endotoxins.

2. What is the outermost layer of the dermis, rich in collagen and elastin fibers that provide elasticity to the skin?

• A. Papillary layer
• B. Reticular layer
• C. Stratum basale
• D. Stratum corneum

Correct answer: A

Rationale: The correct answer is A: Papillary layer. The papillary layer is the outermost layer of the dermis and is rich in collagen and elastin fibers. These fibers provide elasticity to the skin, helping it maintain its structure and flexibility. The reticular layer, although deeper in the dermis, is not the outermost layer and is primarily responsible for providing strength and support to the skin. The stratum basale and stratum corneum are layers of the epidermis, not the dermis. The stratum basale is the deepest layer of the epidermis where new skin cells are formed, while the stratum corneum is the outermost layer of the epidermis composed of dead skin cells. Understanding the different layers of the skin is essential for comprehending its functions and properties.

3. Choose the correct pronoun to complete the sentence: "Neither Michael nor Sarah ____ their homework finished yet."

• A. has
• B. have
• C. are having
• D. does have

Correct answer: B

Rationale: When referring to "neither" followed by two subjects, the verb agrees with the plural subject ("Sarah"). So, "have" is the correct answer.

4. What is the name of a condition where the immune system mistakenly attacks healthy body tissues?

• A. Allergy
• B. Autoimmune disease
• C. Immunodeficiency
• D. Sepsis

Correct answer: B

Rationale: The correct answer is B: Autoimmune disease. This condition occurs when the immune system mistakenly targets and attacks healthy tissues in the body, leading to inflammation and tissue damage. Autoimmune diseases can affect various organs and systems in the body, such as rheumatoid arthritis, lupus, and multiple sclerosis. Allergies (A) involve the immune system overreacting to harmless substances, but they do not involve attacking healthy tissues. Immunodeficiency (C) refers to a weakened immune system that is less able to fight off infections. Sepsis (D) is a life-threatening condition caused by the body's response to an infection, not an autoimmune reaction.

5. In the context of cholesterol levels, LDL cholesterol is often referred to as:

• A. HDL or "good" cholesterol.
• B. LDL or "bad" cholesterol.
• C. Total cholesterol, encompassing both LDL and HDL
• D. VLDL, a type of triglyceride transported in the bloodstream

Correct answer: B

Rationale: The correct answer is B: LDL or "bad" cholesterol. LDL stands for low-density lipoprotein, which is often referred to as "bad" cholesterol because it can contribute to plaque buildup in the arteries, leading to a higher risk of heart disease. HDL, on the other hand, is known as "good" cholesterol because it helps remove LDL from the bloodstream. Total cholesterol (option C) encompasses both LDL and HDL levels but does not specifically refer to LDL cholesterol. VLDL (option D) is a different type of lipoprotein that transports triglycerides, not cholesterol. Understanding the distinction between LDL and HDL cholesterol is crucial for managing heart health.

6. Which of the following is NOT a function of the endoplasmic reticulum (ER)?

• A. Synthesis of lipids (fats)
• B. Transport of materials within the cell
• C. Detoxification of harmful substances
• D. Breakdown of cellular waste products

Correct answer: C

Rationale: The correct answer is C: 'Detoxification of harmful substances.' The endoplasmic reticulum (ER) is responsible for synthesizing lipids (fats), transporting materials within the cell, and breaking down cellular waste products. However, detoxification of harmful substances is primarily carried out by the smooth endoplasmic reticulum (SER) where enzymes detoxify drugs and other harmful compounds. Therefore, C is the correct answer as it is not a primary function of the ER.

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