Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

2. Which of the following is NOT a type of epithelium?

• A. Stratified squamous
• B. Simple cuboidal
• C. Stratified columnar
• D. Pseudostratified columnar

Correct answer: D

Rationale: The correct answer is D, Pseudostratified columnar. Pseudostratified columnar epithelium is not a type of epithelium. It is a specialized form of simple columnar epithelium. Stratified squamous, simple cuboidal, and stratified columnar are all types of epithelial tissues found in the human body. Stratified squamous epithelium is found in the skin, mouth, and esophagus; simple cuboidal epithelium lines kidney tubules and glands; stratified columnar epithelium is present in parts of the respiratory tract and male urethra.

3. Which of the following is true regarding T cells?

• A. They are only seen in individuals with leukemia.
• B. They are a specialized type of white blood cell.
• C. They mature in the thymus.
• D. They play a role in the immune response.

Correct answer: D

Rationale: The correct answer is D: T cells are a specialized type of white blood cell that play a crucial role in the immune response. They are produced in the bone marrow and mature in the thymus gland. T cells help coordinate and regulate the immune response to pathogens and foreign substances by interacting with other immune cells. Choices A, B, and C are incorrect. T cells are not exclusively seen in individuals with leukemia; they are a normal component of the immune system found in healthy individuals. While it is true that T cells are a specialized type of white blood cell, the key characteristic being tested in this question is their role in the immune response. Lastly, T cells do mature in the thymus, but this alone does not encompass the full scope of their function in the immune system.

4. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The main target organ for insulin is muscles. Insulin plays a crucial role in regulating glucose metabolism by promoting the uptake of glucose into muscle cells. This glucose can then be utilized for energy production or stored for later use. Therefore, muscles are the primary site where insulin exerts its effects on glucose uptake and utilization. The liver primarily responds to insulin by regulating glucose storage and release, but the main target for insulin-mediated glucose uptake is muscles. Kidneys are not a target organ for insulin action in glucose metabolism. The brain does not heavily rely on insulin for glucose uptake as it primarily uses glucose independently of insulin for energy production.

5. Which layer of the skin is responsible for new skin cell production?

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B, Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis and is responsible for new skin cell production through cell division. It contains basal cells that continuously divide to produce new keratinocytes, which move up through the layers of the epidermis. Choice A, Stratum corneum, is the outermost layer of the epidermis consisting of dead cells filled with keratin. It serves a protective function but is not involved in new skin cell production. Choice C, Stratum granulosum, is a layer of the epidermis where keratinocytes undergo changes in their structure and composition. It is involved in the process of keratinization but not in new skin cell production. Choice D, Stratum spinosum, is a layer of the epidermis where cells become interconnected by desmosomes. While it plays a role in providing strength and support to the epidermis, it is not primarily responsible for new skin cell production.

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