Nursing Elites

1. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

2. Vacuoles are large sacs for storage in plant cells. What is their main function in animal cells?

• A. Protein synthesis
• B. Waste storage and disposal
• C. Photosynthesis
• D. Cellular respiration

Correct answer: B

Rationale: Vacuoles in animal cells primarily function in waste storage and disposal, helping to maintain cellular homeostasis by storing waste products and aiding in their removal from the cell. Unlike plant cells, animal cells do not typically use vacuoles for storage purposes such as water, nutrients, or pigments. Instead, animal cells rely on other organelles like lysosomes for waste management and maintaining cellular balance. Choices A, C, and D are incorrect because protein synthesis occurs in ribosomes, photosynthesis takes place in chloroplasts (absent in animal cells), and cellular respiration mainly occurs in mitochondria, respectively. Vacuoles in animal cells serve a different purpose compared to plant cells.

3. Which of the following glands produces hormones that regulate metabolism?

• A. Adrenal gland
• B. Pituitary gland
• C. Thyroid gland
• D. Liver

Correct answer: C

Rationale: The thyroid gland is responsible for producing hormones that play a crucial role in regulating metabolism. One of the key hormones produced by the thyroid gland is thyroxine, which directly influences the body's metabolic rate. Therefore, the correct answer is the thyroid gland. The adrenal gland produces hormones like adrenaline, which are associated with the stress response and not primarily metabolic regulation. The pituitary gland regulates various other hormones but is not primarily responsible for metabolic regulation. The liver has a role in metabolism, mainly in processes like detoxification and nutrient storage, but it is not a gland that primarily produces hormones for metabolic regulation, making it an incorrect choice in this context.

4. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

5. At what stage is urine formed in the kidney?

• A. After fluid reaches the bladder.
• B. When fluid fills the collecting duct.
• C. Before blood enters the glomerulus.
• D. During fluid transport to the urethra.

Correct answer: B

Rationale: Urine is formed when fluid fills the collecting duct in the kidney. The collecting duct is where the final concentration of urine occurs after the filtration process in the nephron. Choice A is incorrect because urine formation happens before fluid reaches the bladder. Choice C is incorrect because urine formation occurs after blood has been filtered in the glomerulus. Choice D is incorrect because urine formation happens before fluid is transported to the urethra for elimination.

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