Nursing Elites

1. What is the dermis composed of?

• A. Adipose tissue
• B. Epithelial cells
• C. Connective tissue
• D. Muscle tissue

Correct answer: C

Rationale: The correct answer is C: Connective tissue. The dermis is primarily composed of connective tissue, which includes collagen and elastin fibers that provide strength and elasticity to the skin. It houses blood vessels, nerve endings, hair follicles, and glands, playing a crucial role in supporting the skin structure and function. Adipose tissue (choice A) is found in the subcutaneous layer beneath the dermis, providing insulation and energy storage. Epithelial cells (choice B) form the outermost layer of the skin called the epidermis. Muscle tissue (choice D) is not a significant component of the dermis but is found deeper in the body associated with movement and support.

2. Which of the following blood proteins can destroy pathogens?

• A. Complement system
• B. Fibrinogen
• C. Major histocompatibility complex
• D. Platelets

Correct answer: A

Rationale: The correct answer is A: Complement system. The complement system is a vital component of the immune system responsible for destroying pathogens through various mechanisms like promoting inflammation, enhancing phagocytosis, and directly lysing pathogens. Fibrinogen is crucial for blood clotting, the major histocompatibility complex is involved in immune responses, and platelets aid in blood clotting and wound healing. However, none of these directly destroy pathogens as the complement system does.

3. Which of the following is unique to covalent bonds?

• A. Most covalent bonds are formed between the elements H, F, N, and O.
• B. Covalent bonds are dependent on forming dipoles.
• C. Bonding electrons are shared between two or more atoms.
• D. Molecules with covalent bonds tend to have a crystalline solid structure.

Correct answer: C

Rationale: The correct answer is C: 'Bonding electrons are shared between two or more atoms.' This statement is unique to covalent bonds. In covalent bonds, atoms share electrons to achieve a stable electron configuration, which leads to the formation of a bond. This sharing of electrons is a fundamental characteristic of covalent bonds and distinguishes them from other types of chemical bonds, such as ionic bonds, where electrons are transferred rather than shared. Choices A, B, and D do not represent unique characteristics of covalent bonds. Choice A describes some common elements involved in covalent bonds, choice B refers to the concept of dipoles, which can also exist in other types of bonds, and choice D describes a property of molecules (crystalline solid structure) that is not exclusive to covalent bonds.

4. Salts are formed by the reaction between:

• A. Two acids
• B. An acid and a base
• C. Two bases
• D. A metal and a nonmetal only

Correct answer: B

Rationale: Salts are formed by the reaction between an acid and a base. This reaction is known as a neutralization reaction. In this reaction, the acid donates a proton (H+) to the base, resulting in the formation of water and a salt as the products. Choice A is incorrect because salts are not formed by the reaction of two acids. Choice C is incorrect as salts are not produced by the reaction of two bases. Choice D is incorrect because while salts can be formed from the reaction between a metal and a nonmetal, it is not the only way salts are produced.

5. 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.

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