Nursing Elites

1. The adrenal glands are part of which system?

• A. Immune system
• B. Endocrine system
• C. Lymphatic system
• D. Respiratory system

Correct answer: B

Rationale: The correct answer is B: Endocrine system. The adrenal glands are part of the endocrine system, not the immune, lymphatic, or respiratory system. The endocrine system is responsible for producing and regulating hormones that control various bodily functions. The adrenal glands specifically produce hormones like cortisol and adrenaline, which are critical for the body's response to stress and metabolic processes. The immune system is responsible for defending the body against infections and diseases, the lymphatic system is involved in immunity and fluid balance, and the respiratory system is responsible for gas exchange in the body. Therefore, choices A, C, and D are incorrect in the context of the adrenal glands.

2. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

3. Which of the following is an example of a fibrous protein?

• A. Insulin
• B. Keratin
• C. Hemoglobin
• D. Collagen

Correct answer: D

Rationale: A) Insulin is a hormone, not a fibrous protein. It is produced in the pancreas and regulates blood sugar levels. B) Keratin is a fibrous structural protein found in hair, nails, and the outer skin layer, providing strength and protection. C) Hemoglobin is a globular protein in red blood cells responsible for oxygen transport; it is not fibrous. D) Collagen is a fibrous protein found in tendons, ligaments, and skin, offering strength and structure to connective tissues. Therefore, the correct answer is collagen, making it the main component of various connective tissues.

4. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: Physical barriers such as the skin and mucous membranes are crucial components of the innate immune system's first line of defense. These barriers act as physical obstacles that prevent pathogens from entering the body. Antibodies (option A) are produced by the adaptive immune system in response to specific pathogens and do not serve as physical barriers. Phagocytes (option B) are cells that engulf and digest pathogens, playing a role in the innate immune response but not as physical barriers. Memory B cells (option D) are part of the adaptive immune system and aid in mounting a faster and more effective immune response upon subsequent exposure to a specific pathogen, but they are not physical barriers against initial pathogen entry.

5. Mrs. Jones's class is conducting an experiment. They will substitute artificial sweetener for sugar in a cookie recipe to determine the effect on the overall color of the baked cookies. Which of the following should be included in the instructions for the experiment?

• A. When preparing the batch that includes artificial sweetener, 20% more water should be included.
• B. The bake temperature should be decreased from 425°F to 400°F.
• C. The batch with artificial sweetener should be baked on a stainless steel sheet.
• D. Ingredient proportions, bake time, bake temperature, and cookie sheet material should all be kept the same between the two batches.

Correct answer: D

Rationale: To ensure a valid comparison and isolate the impact of the artificial sweetener, the experiment should maintain consistency in all factors except the sugar substitution. By keeping ingredient proportions, bake time, bake temperature, and cookie sheet material the same, any observed differences in the color of the cookies can be attributed to the artificial sweetener rather than other variables. Choices A, B, and C introduce additional variables that could confound the results. Choice A would alter the consistency of the recipe by adjusting the water content, Choice B would introduce a change in baking temperature which could affect the outcome, and Choice C suggests a change in the type of baking sheet used, potentially impacting the baking process and results. Therefore, maintaining consistency in all other factors except for the sugar substitution is crucial for a reliable experiment.

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