Nursing Elites

1. Which of the following is the outermost layer of the skin, providing protection against pathogens and the environment?

• A. Dermis
• B. Epidermis
• C. Hypodermis
• D. Stratum corneum (part of the epidermis)

Correct answer: B

Rationale: The epidermis is the correct answer as it is the outermost layer of the skin, providing protection against pathogens and the environment. It consists of multiple layers, including the stratum corneum, which is the outermost layer of the epidermis. The dermis is located beneath the epidermis, offering structural support and housing blood vessels, nerves, and glands. The hypodermis is the deepest layer of the skin, made up of fat and connective tissue that secures the skin to underlying structures. Choice A, Dermis, is incorrect as it is located beneath the epidermis. Choice C, Hypodermis, is incorrect as it is the deepest layer of the skin, not the outermost. Choice D, Stratum corneum (part of the epidermis), is not the correct answer as it is a specific layer within the epidermis and not the overall outermost layer of the skin.

2. Which hormone, produced by the pituitary gland, stimulates the growth and development of bones, muscles, and organs?

• A. Growth hormone (GH)
• B. Thyroid-stimulating hormone (TSH)
• C. Prolactin
• D. Follicle-stimulating hormone (FSH)

Correct answer: A

Rationale: The correct answer is Growth hormone (GH). GH, produced by the pituitary gland, is responsible for stimulating the growth and development of bones, muscles, and organs. It plays a critical role in regulating growth during childhood and adolescence by promoting cell division, protein synthesis, and tissue growth. Thyroid-stimulating hormone (TSH) functions to stimulate the thyroid gland to produce thyroid hormones, while prolactin is involved in milk production. Follicle-stimulating hormone (FSH) is primarily responsible for reproductive functions like egg development in females and sperm production in males.

3. Which hormone deficiency can lead to stunted growth and developmental delays in children?

• A. Estrogen
• B. Testosterone
• C. Growth hormone
• D. Insulin

Correct answer: C

Rationale: The correct answer is C, Growth hormone. Growth hormone plays a crucial role in stimulating growth, cell reproduction, and regeneration in children. A deficiency in growth hormone can lead to stunted growth and developmental delays. Estrogen and testosterone are sex hormones that do not directly influence growth in the same way as growth hormone. Insulin primarily regulates blood sugar levels and is not the primary hormone responsible for growth and development in children.

4. Which bones are included in the axial skeleton?

• A. Head, neck, and trunk
• B. Arms and legs
• C. Hands and feet
• D. All of the above

Correct answer: A

Rationale: The correct answer is A: Head, neck, and trunk. The axial skeleton comprises bones located in the head, neck, and trunk region, such as the skull, vertebral column, and rib cage. These bones provide structural support and protect vital organs like the brain, spinal cord, and heart. Choices B and C are incorrect because arms, legs, hands, and feet are part of the appendicular skeleton, not the axial skeleton. The appendicular skeleton is responsible for movement, manipulation, and mobility, while the axial skeleton primarily provides central support and protection for essential organs.

5. 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.

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