Nursing Elites

1. What is the waxy or oily substance produced by sebaceous glands that helps lubricate the skin and hair?

• A. Keratin
• B. Melanin
• C. Sebum
• D. Sweat

Correct answer: C

Rationale: Sebum is the waxy or oily substance produced by sebaceous glands. It helps lubricate the skin and hair, keeping them moisturized and protected. Keratin is a protein that makes up hair, skin, and nails, providing structure and strength. Melanin is a pigment that gives color to the skin, hair, and eyes, providing protection against UV radiation. Sweat is a watery fluid produced by sweat glands to help regulate body temperature by cooling the body through evaporation.

2. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

3. What is the purpose of an electrocardiogram?

• A. Indicate the rate of blood flow
• B. Display the heart's rate and rhythm
• C. Identify a person's blood group type
• D. Determine cell type in a blood sample

Correct answer: B

Rationale: An electrocardiogram (ECG or EKG) is used to measure and display the heart's rate and rhythm. It provides valuable information about the electrical activity of the heart, allowing healthcare providers to assess the heart's health, detect abnormalities in the heart's rhythm, and diagnose various cardiac conditions. Choices A, C, and D are incorrect. Choice A is incorrect because an ECG does not indicate the rate of blood flow but rather focuses on the heart's electrical activity. Choice C is incorrect because identifying a person's blood group type is typically done through blood typing tests, not ECG. Choice D is incorrect because determining cell type in a blood sample is unrelated to the purpose of an ECG.

4. What type of muscle tissue is responsible for causing the hair follicles to stand on end when you get a goosebump?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. None of the above

Correct answer: B

Rationale: Smooth muscle is responsible for causing the hair follicles to stand on end when you get a goosebump. This type of muscle tissue is found in the skin attached to hair follicles and contracts in response to stimuli such as cold or fear, causing the hair to stand up. Skeletal muscle is responsible for voluntary movements, and cardiac muscle is found in the heart and is not directly involved in causing goosebumps. Therefore, choices A, C, and D are incorrect as they do not represent the specific type of muscle tissue responsible for this physiological response.

5. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

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