Nursing Elites

1. What are fingernails and toenails primarily made 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: Fingernails and toenails are primarily made of a protein called keratin. Keratin is a tough, fibrous protein that provides structure and strength to nails, hair, and the outer layer of skin. Collagen, as mentioned, is found in the dermis and is not the primary component of nails. Melanin provides pigment to the skin and hair, not the structure of nails. Sebum is an oily substance produced by the skin's sebaceous glands and is not a structural component of nails.

2. Which property of a wave is measured in Hertz (Hz)?

• A. Amplitude
• B. Wavelength
• C. Speed
• D. Frequency

Correct answer: D

Rationale: Frequency is the property of a wave that is measured in Hertz (Hz). It represents the number of complete cycles of the wave that occur in one second. Amplitude refers to the height of the wave, wavelength is the distance between two consecutive points on a wave that are in phase, and speed is the rate at which the wave travels through a medium. Therefore, the correct answer is frequency as it directly corresponds to the unit Hertz (Hz) used to measure the number of wave cycles per second.

3. What is the action of the triceps reflex?

• A. Forces contraction of the triceps and extension of the arm.
• B. Forces contraction of the biceps, relaxation of the biceps, and arm extension.
• C. Causes the triceps to contract, causing the forearm to supinate and flex.
• D. Causes the triceps to relax and the upper arm to pronate and extend.

Correct answer: A

Rationale: The triceps reflex causes the triceps muscle to contract, leading to the extension of the arm. This reflex is a protective response to sudden stretching of the triceps muscle, as seen when a physician taps the triceps tendon during a physical examination. Choice A is the correct answer as it accurately reflects the action of the triceps reflex. Choices B, C, and D are incorrect because they describe actions that are not associated with the triceps reflex. Biceps contraction, forearm supination, flexion, triceps relaxation, and pronation are not part of the triceps reflex arc.

4. Which of the following reagents can be used to convert a primary alcohol to an alkyl halide?

• A. HI
• B. H2O
• C. NaOH
• D. SOCl2

Correct answer: D

Rationale: SOCl2 (thionyl chloride) is commonly used to convert primary alcohols to alkyl halides through an SN2 mechanism. Thionyl chloride reacts with the alcohol to form an alkyl chloride. HI (hydroiodic acid) is typically used to convert alcohols to alkyl iodides specifically, not alkyl halides in general. H2O (water) and NaOH (sodium hydroxide) are not reagents used for converting alcohols to alkyl halides. Therefore, the correct answer is SOCl2 as it facilitates the conversion of primary alcohols to alkyl halides, unlike the other options provided.

5. 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: B

Rationale: The correct answer is the reticular layer. This layer is the outermost layer of the dermis that contains abundant collagen and elastin fibers, providing elasticity to the skin. The papillary layer is located beneath the epidermis and is responsible for supplying nutrients to the epidermis, not the outermost layer. The stratum basale is the deepest layer of the epidermis where new skin cells are produced, not part of the dermis. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells, not a layer of the dermis.

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