Nursing Elites

1. Water is capable of dissolving many substances that organisms need to carry out life functions. Which of the properties of water listed below is responsible for its ability to dissolve important nutrients like ionic salt compounds?

• A. adhesion
• B. cohesion
• C. high specific heat
• D. high polarity

Correct answer: D

Rationale: The property of water that is responsible for its ability to dissolve important nutrients like ionic salt compounds is its high polarity. Water is a polar molecule with a positive and negative end, which allows it to attract and surround individual ions from salt compounds, causing them to dissociate and dissolve in water. This property makes water an excellent solvent for various substances necessary for life functions. Adhesion refers to the ability of water molecules to stick to other substances, cohesion is the attraction between water molecules themselves, and high specific heat is the amount of heat energy required to raise the temperature of water. While these properties are important characteristics of water, they are not directly responsible for its ability to dissolve ionic salt compounds.

2. 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.

3. Memory B cells and memory T cells are crucial for immunological memory. How does immunological memory enhance the immune response upon re-exposure to a pathogen?

• A. It increases the production of the same ineffective antibodies.
• B. It allows for a quicker and more robust immune response.
• C. It suppresses the immune system to prevent overreaction.
• D. It triggers a completely different immune response.

Correct answer: B

Rationale: Immunological memory enhances the immune response upon re-exposure to a pathogen by allowing for a quicker and more robust immune response. Memory B cells and memory T cells are primed to recognize the pathogen quickly and mount a faster and more effective response, leading to a more efficient clearance of the pathogen. Choice A is incorrect because immunological memory does not increase the production of ineffective antibodies but rather promotes the production of specific antibodies that are effective against the pathogen. Choice C is incorrect as immunological memory does not suppress the immune system; instead, it enhances the response. Choice D is incorrect because immunological memory leads to a recall of the specific immune response mounted during the initial exposure, not a completely different response.

4. What are the fluid-filled sacs that cushion the brain within the skull called?

• A. Meninges
• B. Cerebrospinal fluid
• C. Dura mater
• D. Arachnoid mater

Correct answer: B

Rationale: The correct answer is B, cerebrospinal fluid. Cerebrospinal fluid acts as a shock absorber, protecting the brain from impact and providing nutrients to brain cells. Meninges are the three protective layers of tissue that surround the brain and spinal cord. Dura mater and arachnoid mater are specific layers of the meninges, not the fluid-filled sacs that cushion the brain.

5. Which of the following structures has the lowest blood pressure?

• A. Arteries
• B. Arterioles
• C. Venules
• D. Veins

Correct answer: D

Rationale: Veins have the lowest blood pressure among the listed structures. Blood pressure decreases as blood flows from arteries to arterioles, then to venules, and finally to veins. Veins return blood to the heart under low pressure because they have thinner walls and larger lumens compared to arteries and arterioles. This anatomical difference allows veins to accommodate a greater volume of blood without a significant rise in pressure. Arteries have the highest blood pressure to propel blood away from the heart, followed by arterioles which regulate blood flow to capillaries. Venules collect blood from capillaries and connect to veins, which then carry blood back to the heart at a lower pressure.

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