Nursing Elites

1. 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.

2. Which radioactive isotope is commonly used in medical imaging techniques such as PET scans?

• A. Uranium-235
• B. Plutonium-239
• C. Potassium-40
• D. Fluorine-18

Correct answer: D

Rationale: Fluorine-18 is the radioactive isotope commonly used in medical imaging techniques such as PET scans. It is frequently used in the form of fluorodeoxyglucose (FDG) to locate areas of heightened metabolic activity in the body, such as in cancer cells. Uranium-235 and Plutonium-239 are not typically employed in medical imaging, and Potassium-40, while a naturally occurring radioactive isotope found in the human body, is not commonly used in medical imaging techniques.

3. What is the cycle of infection?

• A. Reservoir host, means of exit, means of transmission, means of entrance, susceptible host
• B. Entry point, transmission, replication, exit, susceptible host
• C. Susceptible host, replication, transmission, entry, exit
• D. Transmission, replication, entry, exit, susceptible host

Correct answer: A

Rationale: The correct answer is A: 'Reservoir host, means of exit, means of transmission, means of entrance, susceptible host.' This cycle of infection involves the pathogen starting in a reservoir host, exiting through a means, being transmitted to another host, entering the new host through a means, and ultimately infecting the susceptible host. Choices B, C, and D are incorrect because they do not follow the correct sequence of events in the cycle of infection.

4. Which of the following is NOT a component of the body's innate immune response?

• A. Physical barriers like skin and mucous membranes
• B. Phagocytes that engulf and destroy pathogens
• C. Inflammatory response to isolate and contain infection
• D. Production of antibodies specific to a particular pathogen

Correct answer: D

Rationale: The production of antibodies specific to a particular pathogen is a function of the adaptive immune response, not the innate immune response. Innate immunity involves nonspecific defense mechanisms like physical barriers, phagocytes, and inflammation, which provide immediate protection against pathogens without prior exposure. Antibody production is a characteristic of adaptive immunity, where the body generates specific antibodies in response to encountering a pathogen for the first time. Therefore, option D is the correct answer as it does not align with the immediate and nonspecific nature of the innate immune response.

5. What is the main function of the epiglottis, a small flap of cartilage located above the larynx?

• A. To warm and humidify inhaled air
• B. To control the passage of food and air
• C. To produce sound vibrations for speech
• D. To sense the presence of foreign objects

Correct answer: B

Rationale: The main function of the epiglottis is to control the passage of food and air. It acts as a cover for the trachea during swallowing to prevent food from entering the airway. This mechanism ensures that food safely travels down the esophagus to the stomach, while air simultaneously enters the trachea and moves into the lungs for respiration. Choice A is incorrect as the warming and humidifying of inhaled air primarily occur in the nasal cavity. Choice C is incorrect because sound production for speech involves structures like the vocal cords rather than the epiglottis. Choice D is incorrect as sensing foreign objects is not a primary function of the epiglottis; instead, this role is typically associated with sensory receptors in the respiratory tract.

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