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: 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; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

2. Which of the following is a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (H₂CO₃)

Correct answer: B

Rationale: Hydrochloric acid (HCl) is a strong acid because it completely ionizes in water to produce hydrogen ions, leading to a high concentration of H⁺ ions in solution. This characteristic makes it a strong acid. Acetic acid (CH₃COOH), citric acid, and carbonic acid (H₂CO₃) are weak acids as they only partially ionize in water, resulting in a lower concentration of H⁺ ions compared to strong acids. Therefore, hydrochloric acid is the correct choice as a strong acid.

3. A guitar string vibrates at a fundamental frequency of 440 Hz. What is the frequency of the second harmonic (first overtone)?

• A. 220 Hz
• B. 440 Hz
• C. 880 Hz
• D. 1760 Hz

Correct answer: C

Rationale: The second harmonic (first overtone) is twice the frequency of the fundamental frequency. Therefore, the frequency of the second harmonic is 440 Hz * 2 = 880 Hz. The second harmonic has a frequency that is one octave higher than the fundamental frequency, representing the first overtone of the vibrating string. Choice A (220 Hz) is incorrect as it represents half the fundamental frequency and is the second harmonic, not the first overtone. Choice B (440 Hz) is the fundamental frequency itself. Choice D (1760 Hz) is the frequency of the fourth harmonic, not the second harmonic.

4. Which layer of the skin is responsible for new skin cell production?

• 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 and is responsible for new skin cell production through cell division. It contains basal cells that continuously divide to produce new keratinocytes, which move up through the layers of the epidermis. Choice A, Stratum corneum, is the outermost layer of the epidermis consisting of dead cells filled with keratin. It serves a protective function but is not involved in new skin cell production. Choice C, Stratum granulosum, is a layer of the epidermis where keratinocytes undergo changes in their structure and composition. It is involved in the process of keratinization but not in new skin cell production. Choice D, Stratum spinosum, is a layer of the epidermis where cells become interconnected by desmosomes. While it plays a role in providing strength and support to the epidermis, it is not primarily responsible for new skin cell production.

5. What is the primary function of the lymphatic system?

• A. Transporting oxygen and nutrients to cells
• B. Carrying waste products away from tissues
• C. Regulating body temperature
• D. Producing red blood cells

Correct answer: B

Rationale: The primary function of the lymphatic system is to carry waste products away from tissues. Lymphatic vessels collect excess fluid, waste materials, and toxins from the body's tissues and transport them to the bloodstream for elimination. Choice A is incorrect because transporting oxygen and nutrients to cells is mainly the function of the circulatory system. Choice C is incorrect as regulating body temperature is primarily done by the body's thermoregulatory mechanisms. Choice D is incorrect because the production of red blood cells occurs in the bone marrow, not in the lymphatic system.

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