Nursing Elites

1. Which of the following correctly orders the layers of the epidermis from most superficial to deepest?

• A. S. spinosum, S. basale, S. corneum, S. granulosum, S. lucidum
• B. S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale
• C. S. corneum, S. spinosum, S. basale, S. granulosum, S. lucidum
• D. S. basale, S. spinosum, S. granulosum, S. lucidum, S. corneum

Correct answer: B

Rationale: The correct order of the layers of the epidermis from most superficial to deepest is: Stratum corneum, Stratum lucidum, Stratum granulosum, Stratum spinosum, Stratum basale. Choice B, 'S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale,' provides the accurate layering from the outermost to the innermost layer of the epidermis. Choice A is incorrect as it starts with Stratum spinosum, which is not the most superficial layer. Choice C is incorrect as it places Stratum spinosum before Stratum basale. Choice D is incorrect as it starts with Stratum basale, which is the deepest layer of the epidermis.

2. What is the primary function of the cell membrane?

• A. To provide structural support for the cell
• B. To transport substances in and out of the cell
• C. To synthesize proteins and lipids
• D. To store genetic material

Correct answer: B

Rationale: The primary function of the cell membrane, also known as the plasma membrane, is to regulate the movement of substances in and out of the cell. It acts as a selectively permeable barrier, allowing specific molecules to pass through while blocking others. This role is crucial for maintaining the internal environment of the cell by enabling essential nutrients to enter and waste products to exit. While the cell membrane provides some structural support for the cell, its main function is substance transport. Protein and lipid synthesis predominantly occur in organelles like the endoplasmic reticulum and Golgi apparatus, and storing genetic material is the nucleus's responsibility. Therefore, choices C (To synthesize proteins and lipids) and D (To store genetic material) are incorrect as these functions are carried out by other cell organelles, not the cell membrane.

3. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

4. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

5. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

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