Nursing Elites

1. What is the outermost protective layer of the kidney?

• A. Renal cortex
• B. Renal medulla
• C. Renal capsule
• D. Renal pelvis

Correct answer: C

Rationale: The correct answer is C, Renal capsule. The renal capsule is the outermost protective layer of the kidney. It is a tough fibrous layer that surrounds the kidney and helps protect it from injury and maintain its shape. Choice A, Renal cortex, is the outer region of the kidney where filtration occurs. Choice B, Renal medulla, is the inner region of the kidney where urine is formed. Choice D, Renal pelvis, is the funnel-shaped structure that collects urine from the kidney and funnels it into the ureter. Therefore, the renal capsule is specifically designated as the outermost protective layer of the kidney.

2. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

3. Four different groups of the same species of peas are grown and exposed to differing levels of sunlight, water, and fertilizer as documented in the table below. The data in the water and fertilizer columns indicate how many times the peas are watered or fertilized per week, respectively. Group 2 is the only group that withered. What is a reasonable explanation for this occurrence? Group Sunlight Water Fertilizer 1 partial sun 4 mL/hr 1 2 full sun 7 mL/hr 1 3 no sun 14 mL/hr 2 4 partial sun 3 mL/hr 2

• A. Insects gnawed away at the stem of the plant.
• B. The roots rotted due to poor drainage.
• C. The soil type had nutritional deficiencies.
• D. This species of peas does not thrive in full sunlight.

Correct answer: D

Rationale: Group 2, the only group that withered, was exposed to full sun. This suggests that the species of peas being studied does not thrive in full sunlight, leading to its deterioration compared to the other groups with different light exposures. Choices A, B, and C are not the correct explanations for the withering of Group 2. There is no mention of insects in the stem, poor drainage, or soil nutritional deficiencies in the scenario provided. The key factor that sets Group 2 apart from the others is the full sunlight exposure, indicating that the species of peas is not suited for such conditions.

4. Which organ in the human body is responsible for filtering blood and producing urine?

• A. Liver
• B. Kidneys
• C. Pancreas
• D. Heart

Correct answer: B

Rationale: The correct answer is B: Kidneys. The kidneys are vital organs in the human body responsible for filtering blood to remove waste products and excess substances, producing urine as a result. The liver plays a role in detoxification and metabolism. The pancreas is involved in digestion and blood sugar regulation. The heart pumps blood throughout the body but does not filter blood or produce urine.

5. Which hormone regulates the sleep-wake cycle?

• A. Cortisol
• B. Melatonin
• C. Thyroxine
• D. Insulin

Correct answer: B

Rationale: The correct answer is B: Melatonin. Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. It helps signal to the body when it's time to sleep and wake up, playing a crucial role in maintaining a healthy sleep pattern. Choice A, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, not specifically in regulating the sleep-wake cycle. Choice C, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle. Choice D, Insulin, is a hormone produced by the pancreas that regulates blood sugar levels, not the sleep-wake cycle.

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