Nursing Elites

1. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folds and coils of the protein's polypeptide backbone. This level of structure is characterized by the formation of alpha helices and beta sheets, which are stabilized by hydrogen bonds between amino acids along the polypeptide chain. Choice A, Primary, refers to the linear sequence of amino acids in the protein. Choice C, Tertiary, involves the 3D folding of the entire polypeptide chain. Choice D, Quaternary, pertains to the arrangement of multiple polypeptide subunits in a protein complex.

2. Which of the following is NOT a tissue layer found in skeletal bone?

• A. periosteum
• B. bone marrow
• C. enamel
• D. cancellous bone

Correct answer: C

Rationale: Enamel is a hard, outer layer that covers the crown of a tooth and is not a tissue layer found in skeletal bone. The other options, periosteum, bone marrow, and cancellous bone, are all tissue layers or components found in skeletal bone. Periosteum is the connective tissue layer covering the bone surface, bone marrow is found within the bone cavities, and cancellous bone is a spongy, porous bone tissue.

3. Which term is used interchangeably with negative variation?

• A. Non-correlation
• B. Direct correlation
• C. Inverse correlation
• D. Positive correlation

Correct answer: C

Rationale: The correct answer is C: Inverse correlation. Negative variation is synonymous with inverse correlation, indicating that as one variable increases, the other decreases. This relationship is the opposite of positive correlation, where both variables increase or decrease together. Non-correlation and direct correlation do not convey the concept of negative variation and are not interchangeable terms in this context. Non-correlation refers to variables that are not related or associated, while direct correlation indicates that as one variable increases, the other also increases. Positive correlation describes a relationship where both variables increase together, which is the opposite of negative variation.

4. Differentiate between epithelial and connective tissue.

• A. Epithelial tissue lines surfaces and glands, while connective tissue supports tendons.
• B. Both are composed of cells, but epithelial tissue lines surfaces and glands, while connective tissue binds other tissues.
• C. Epithelial tissue covers surfaces and connective tissue supports muscle contraction.
• D. Epithelial tissue is the largest tissue type, while connective tissue is the smallest.

Correct answer: B

Rationale: Epithelial tissue covers surfaces and lines organs, while connective tissue provides support and structure throughout the body. Both are composed of cells, but their functions and locations differ. Epithelial tissue acts as a barrier to protect underlying tissues and organs, while connective tissue connects, supports, and separates different types of tissues and organs in the body. Choice A is incorrect as connective tissue supports and binds other tissues, not just tendons. Choice C is incorrect because connective tissue does not support muscle contraction; it provides support to various structures in the body. Choice D is incorrect as the size of a tissue type does not define its function; epithelial tissue and connective tissue serve different purposes in the body.

5. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

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