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 blood type is considered a universal donor?

• A. A
• B. B
• C. AB
• D. O

Correct answer: D

Rationale: Blood type O is considered the universal donor because individuals with type O blood can donate red blood cells to individuals with any ABO blood type (A, B, AB, or O) without causing an adverse reaction. Type O blood lacks A or B antigens on the surface of red blood cells, minimizing the risk of an immune response when transfused into individuals with different blood types. Therefore, type O blood is in high demand for blood transfusions in emergency situations when the recipient's blood type is unknown or when there is a shortage of specific blood types. Choices A, B, and AB are not considered universal donors. Individuals with blood types A, B, or AB can only donate to individuals with compatible blood types to avoid adverse reactions since they have A and/or B antigens on the surface of their red blood cells, making them incompatible with all blood types.

3. What is the process of breaking down and rebuilding bone tissue called?

• A. Ossification
• B. Remodeling
• C. Calcification
• D. Osteoporosis

Correct answer: B

Rationale: The correct answer is 'Remodeling.' Remodeling is the process of breaking down and rebuilding bone tissue. Ossification is the process of bone formation, not breaking down and rebuilding bone tissue. Calcification involves the deposition of calcium salts in tissues, but it is not specifically related to breaking down and rebuilding bone tissue. Osteoporosis is a condition characterized by decreased bone density leading to increased bone fragility, not the process of breaking down and rebuilding bone tissue.

4. Which part of the nervous system controls the 'fight or flight' response?

• A. Central nervous system
• B. Peripheral nervous system
• C. Autonomic nervous system
• D. Sympathetic nervous system

Correct answer: D

Rationale: The correct answer is the sympathetic nervous system. It controls the 'fight or flight' response by preparing the body for stressful situations. The central nervous system (Choice A) consists of the brain and spinal cord but does not directly control the 'fight or flight' response. The peripheral nervous system (Choice B) includes nerves outside the brain and spinal cord, while the autonomic nervous system (Choice C) regulates involuntary bodily functions but is not specific to the 'fight or flight' response.

5. How is blood pressure controlled by the body?

• A. By adjusting heart rate only
• B. By regulating blood volume
• C. By baroreceptors and hormones
• D. By adjusting body temperature

Correct answer: C

Rationale: Blood pressure is controlled by baroreceptors located in the aortic arch and carotid arteries that detect changes in blood pressure levels. When blood pressure is high, these receptors signal for adjustments to lower it. Additionally, hormones such as renin from the kidneys are released when blood pressure drops, further aiding in blood pressure regulation. Choice A is incorrect because blood pressure regulation involves more than just adjusting heart rate; it also includes vasodilation and vasoconstriction. Choice B is incorrect as while blood volume can impact blood pressure, it is not the primary mechanism of blood pressure control. Choice D is incorrect as body temperature regulation is a separate physiological process and not directly related to blood pressure control.

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