Nursing Elites

1. What is the term for the shedding of the outermost layer of the epidermis?

• A. Desquamation
• B. Exfoliation
• C. Keratinization
• D. Epidermolysis

Correct answer: A

Rationale: Desquamation is the correct term for the shedding of the outermost layer of the epidermis. This process is essential for skin renewal, allowing the removal of dead skin cells from the skin's surface. Exfoliation, on the other hand, involves the removal of dead skin cells through mechanical or chemical methods. Keratinization refers to the process where skin cells produce the protein keratin, contributing to the skin's protective barrier. Epidermolysis is a condition characterized by the separation of the epidermis from the dermis due to a structural defect in the skin.

2. Which of the following is NOT a function of the lymphatic system?

• A. Removing substances from the blood.
• B. Releasing hormones.
• C. Combating disease.
• D. Maintaining tissue fluid balance.

Correct answer: B

Rationale: The correct answer is B. Releasing hormones is not a function of the lymphatic system. The lymphatic system plays crucial roles in removing substances from the blood, combating disease through the production of immune cells, and maintaining tissue fluid balance by circulating lymph. Releasing hormones is primarily the function of endocrine glands, not the lymphatic system.

3. Which part of the brain is responsible for controlling voluntary muscle movements?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Thalamus

Correct answer: A

Rationale: The correct answer is the Cerebrum. The cerebrum, the largest part of the brain, controls voluntary muscle movements, along with cognitive functions like thinking, perception, and decision-making. It is crucial for motor coordination and the regulation of voluntary movements. The Cerebellum (Choice B) is responsible for coordinating movement, balance, and posture, but not specifically for voluntary muscle movements. The Medulla oblongata (Choice C) is involved in controlling autonomic functions like breathing and heart rate, not voluntary muscle movements. The Thalamus (Choice D) acts as a relay station for sensory information but is not primarily responsible for controlling voluntary muscle movements.

4. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

5. What property of a substance refers to its ability to undergo a chemical change and form new substances?

• A. Density
• B. Mass
• C. Reactivity
• D. Volume

Correct answer: C

Rationale: Reactivity is the property of a substance that describes its ability to undergo a chemical change and form new substances. Density (A), mass (B), and volume (D) are physical properties of a substance and do not directly relate to its ability to undergo chemical changes. Density is the measure of how much mass is contained in a given volume, mass is the amount of matter in an object, and volume is the amount of space an object occupies. Therefore, reactivity (C) is the correct answer as it specifically addresses the substance's ability to undergo chemical changes.

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