Nursing Elites

1. What is the primary composition of the stratum corneum, the outermost layer of the epidermis?

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The stratum corneum, the outermost layer of the epidermis, is primarily composed of keratinized dead cells. These cells are flattened, fully keratinized, and lack nuclei, serving a protective function for the skin. Melanocytes are responsible for producing melanin, providing skin pigmentation. Langerhans cells are involved in the immune response within the skin. Merkel cells are associated with sensory functions in the skin, particularly in touch sensations. Therefore, the correct answer is A as it accurately reflects the main constituent of the stratum corneum, which acts as a barrier against external factors.

2. What type of joint is found at the shoulder and hip, allowing for a wide range of motion?

• A. Hinge joint
• B. Ball-and-socket joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Ball-and-socket joint. A ball-and-socket joint, like the ones found at the shoulder and hip, allows for a wide range of motion. These joints provide multidirectional movement due to the rounded end of one bone fitting into the cup-like socket of another bone, enabling flexion, extension, abduction, adduction, and rotation. Choice A, Hinge joint, is incorrect because hinge joints allow movement in one plane, like a door hinge, and do not provide the wide range of motion seen at the shoulder and hip. Choice C, Pivot joint, is incorrect because pivot joints allow rotation around a single axis, such as the neck, and do not provide the same range of motion as ball-and-socket joints. Choice D, Saddle joint, is incorrect as saddle joints allow movement in multiple directions but are not as versatile or allow as wide a range of motion as ball-and-socket joints.

3. Why is the simple columnar epithelium lining the small intestine crucial?

• A. Movement
• B. Support
• C. Absorption
• D. Insulation

Correct answer: C

Rationale: The simple columnar epithelium lining the small intestine is crucial for absorption. This type of epithelium is specialized for absorption due to its tall and closely packed cells, which increase the surface area available for nutrient absorption. The primary function of the small intestine is to absorb nutrients from digested food, and the simple columnar epithelium's structure aids in this process by providing a large surface area for absorption. Choices A, B, and D are incorrect because movement, support, and insulation are not primary functions associated with the simple columnar epithelium in the small intestine. While these functions are essential in other tissues or organs, absorption is the key role of the simple columnar epithelium in the small intestine.

4. What two factors enable some intercellular chemical signals to diffuse across cell membranes and bind to intracellular receptors?

• A. They are small and soluble.
• B. They are large and soluble.
• C. They are small and insoluble.
• D. They are large and insoluble.

Correct answer: A

Rationale: The correct answer is A: 'They are small and soluble.' Small and soluble molecules can easily pass through cell membranes and bind to intracellular receptors. Being small allows them to pass through the membrane, while being soluble enables them to dissolve in the aqueous environment inside the cell. Choice B is incorrect because large molecules typically cannot pass through the cell membrane easily. Choices C and D are incorrect because insoluble molecules would not dissolve in the aqueous environment inside the cell, hindering their ability to bind to intracellular receptors.

5. Which of the following blood vessels carries oxygenated blood from the lungs to the heart?

• A. Pulmonary vein
• B. Pulmonary artery
• C. Aorta
• D. Vena cava

Correct answer: A

Rationale: The correct answer is A: Pulmonary vein. The pulmonary vein carries oxygenated blood from the lungs to the heart. It is essential to distinguish between the pulmonary vein (A) and the pulmonary artery (B) in this context. The pulmonary vein transports oxygenated blood, while the pulmonary artery carries deoxygenated blood from the heart to the lungs for oxygenation. The aorta (C) functions as the main artery that delivers oxygenated blood from the heart to the body's tissues, while the vena cava (D) returns deoxygenated blood from the body to the heart.

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