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 main function of the epiglottis?

• A. To store bile
• B. To absorb nutrients
• C. To prevent food from entering the trachea
• D. To produce digestive enzymes

Correct answer: C

Rationale: The epiglottis is a flap of cartilage located at the base of the tongue that covers the opening of the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food and liquids into the esophagus, which leads to the stomach for digestion, while also protecting the respiratory system from potential blockages that could lead to choking or aspiration pneumonia. Options A, B, and D are incorrect as the epiglottis is not involved in storing bile, absorbing nutrients, or producing digestive enzymes. Understanding the role of the epiglottis in the swallowing process is crucial for maintaining proper respiratory and digestive functions.

3. What is the function of the myelin sheath in a neuron?

• A. To transmit electrical impulses
• B. To insulate and speed up electrical signals
• C. To produce neurotransmitters
• D. To protect the neuron from damage

Correct answer: B

Rationale: The myelin sheath serves to insulate neurons and accelerate the transmission of electrical signals along the axon. This insulation helps in the efficient conduction of nerve impulses by preventing signal loss or leakage. Choice A is incorrect because the myelin sheath does not transmit electrical impulses itself but rather helps in the conduction. Choice C is incorrect as the myelin sheath is not responsible for producing neurotransmitters. Choice D is also incorrect as the primary function of the myelin sheath is not to protect the neuron from damage. Therefore, the correct answer is B, as it accurately describes the function of the myelin sheath in a neuron.

4. Which part of the brainstem controls heart rate and breathing?

• A. Medulla oblongata
• B. Pons
• C. Midbrain
• D. Thalamus

Correct answer: A

Rationale: The medulla oblongata is a critical part of the brainstem responsible for regulating essential functions such as heart rate, breathing, and blood pressure. It houses centers that oversee these involuntary processes, making it the correct answer. The pons, midbrain, and thalamus do not primarily control heart rate and breathing, thus making them incorrect choices for this question.

5. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

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