Nursing Elites

1. Which of the following is the cardiac muscle layer that forms the bulk of the heart?

• A. Endocardium
• B. Epicardium
• C. Fibrous skeleton
• D. Myocardium

Correct answer: D

Rationale: The correct answer is D, Myocardium. The myocardium is the cardiac muscle layer that comprises the majority of the heart's muscle mass. It is responsible for the heart's contractions, allowing it to pump blood throughout the body. The endocardium is the innermost layer of the heart lining the chambers, while the epicardium is the outermost layer covering the heart. The fibrous skeleton provides structural support and serves as an attachment point for cardiac muscle fibers. Therefore, choices A, B, and C are incorrect as they do not represent the primary muscle layer of the heart.

2. What is the name of the curved bone in the back that provides support and attachment for muscles?

• A. Sternum
• B. Scapula
• C. Clavicle
• D. Vertebral column

Correct answer: D

Rationale: The vertebral column, also known as the spine, is the curved bone in the back that provides support and attachment for muscles. It consists of individual vertebrae stacked on top of each other, forming a flexible and protective structure for the spinal cord. The sternum, scapula, and clavicle are bones in the chest and shoulder regions, not in the back where the vertebral column is located. Therefore, the correct answer is the vertebral column (Option D). Options A, B, and C are incorrect as they are bones situated in the chest and shoulder areas, not in the back where the vertebral column is found.

3. How do vaccines work?

• A. By directly killing pathogens
• B. By introducing weakened or inactive versions of pathogens to trigger an immune response
• C. By stimulating the immediate production of specific antibodies
• D. None of the above

Correct answer: B

Rationale: Vaccines work by introducing weakened or inactive versions of pathogens to trigger an immune response in the body. This exposure helps the immune system recognize and remember the pathogen, enabling a faster and more effective response upon future exposure. Vaccines do not directly kill pathogens but prepare the immune system for a potential encounter, enhancing protection. They also do not stimulate the immediate production of specific antibodies as the immune response takes time to develop upon vaccination. Choice A is incorrect because vaccines do not kill pathogens directly; they prime the immune system to recognize and respond to them. Choice C is incorrect because while vaccines lead to the production of specific antibodies, it is not immediate, as it takes time for the immune response to develop and produce these antibodies.

4. What are fingernails and toenails primarily made of?

• A. Collagen (Collagen is found in the dermis)
• B. Keratin
• C. Melanin (Melanin provides pigment, not structure)
• D. Sebum (Sebum is an oily substance)

Correct answer: B

Rationale: Fingernails and toenails are primarily made of a protein called keratin. Keratin is a tough, fibrous protein that provides structure and strength to nails, hair, and the outer layer of skin. Collagen, as mentioned, is found in the dermis and is not the primary component of nails. Melanin provides pigment to the skin and hair, not the structure of nails. Sebum is an oily substance produced by the skin's sebaceous glands and is not a structural component of nails.

5. What element has the atomic number 17?

• A. Chlorine (Cl)
• B. Nitrogen (N)
• C. Sodium (Na)
• D. Fluorine (F)

Correct answer: A

Rationale: The correct answer is Chlorine (Cl). The atomic number of an element corresponds to the number of protons in its nucleus. Chlorine has an atomic number of 17, indicating it has 17 protons. Therefore, the element with atomic number 17 is Chlorine (Cl). Choice B, Nitrogen (N), has an atomic number of 7, Choice C, Sodium (Na), has an atomic number of 11, and Choice D, Fluorine (F), has an atomic number of 9. These elements do not match the atomic number 17, making them incorrect choices.

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