Nursing Elites

1. Which of the following layers of skin acts as an energy reserve by storing adipocytes and releasing them into circulation when energy is needed?

• A. epidermis
• B. dermis
• C. hypodermis
• D. stratum basale

Correct answer: C

Rationale: The hypodermis, also known as the subcutaneous tissue, is the deepest layer of the skin. This layer contains adipocytes (fat cells) that act as an energy reserve by storing excess energy in the form of fat. When energy is needed, these stored fats can be released into circulation to be used by the body's cells. The epidermis is the outermost layer of the skin, primarily responsible for providing a protective barrier. The dermis lies between the epidermis and hypodermis and contains blood vessels, nerves, and structures like hair follicles and sweat glands. The stratum basale is the deepest layer of the epidermis, responsible for cell renewal and regeneration.

2. Which of the following cell organelles is the site of lipid synthesis?

• A. smooth endoplasmic reticulum
• B. ribosome
• C. rough endoplasmic reticulum
• D. Golgi apparatus

Correct answer: A

Rationale: The correct answer is the smooth endoplasmic reticulum. This organelle lacks ribosomes on its surface, unlike the rough endoplasmic reticulum, which is involved in protein synthesis. The enzymes present in the smooth endoplasmic reticulum are responsible for synthesizing lipids such as phospholipids and steroids. Choice B, ribosomes, are responsible for protein synthesis and not lipid synthesis. Choice C, rough endoplasmic reticulum, is involved in protein synthesis due to the presence of ribosomes. Choice D, Golgi apparatus, is responsible for modifying, sorting, and packaging proteins for secretion, not lipid synthesis.

3. What does bradycardia refer to in terms of heart rate?

• A. Normal (60-100 bpm)
• B. Slightly elevated (100-120 bpm)
• C. Significantly elevated (>120 bpm)
• D. Abnormally slow (<60 bpm)

Correct answer: D

Rationale: Bradycardia refers to an abnormally slow heart rate, typically defined as less than 60 beats per minute. This condition can result in inadequate blood flow to meet the body's demands. It is crucial to distinguish between bradycardia and tachycardia, which is a fast heart rate, as they require different management strategies. Options A, B, and C are incorrect because they describe normal, slightly elevated, and significantly elevated heart rates, respectively, rather than an abnormally slow heart rate characteristic of bradycardia. Recognizing bradycardia is essential for appropriate evaluation and intervention in clinical settings.

4. Which of the following are the reproductive cells produced by meiosis?

• A. Genes
• B. Alleles
• C. Chromatids
• D. Gametes

Correct answer: D

Rationale: The correct answer is D. Gametes are the reproductive cells produced by meiosis. Meiosis is the cell division process that results in the formation of gametes, which are sperm cells in males and egg cells in females. Genes (A), alleles (B), and chromatids (C) are not the reproductive cells produced by meiosis. Genes are units of heredity, alleles are different forms of a gene, and chromatids are duplicated chromosomes involved in cell division.

5. Which of the following best defines the term amphoteric?

• A. A substance that conducts electricity due to ionization when dissolved in a solvent
• B. A substance that can act as an acid or a base depending on the properties of the solute
• C. A substance that, according to the Brønsted-Lowry Acid-Base Theory, is a proton-donor
• D. A substance that donates its proton and forms its conjugate base in a neutralization reaction

Correct answer: B

Rationale: An amphoteric substance can act as both an acid or a base depending on the environment. It can donate a proton (act as an acid) or accept a proton (act as a base), showing versatility in its behavior. Choice A is incorrect as it describes an electrolyte rather than an amphoteric substance. Choice C is incorrect as it defines an acid based on the Brønsted-Lowry Acid-Base Theory. Choice D is incorrect as it specifically refers to a substance donating a proton in a neutralization reaction, not capturing the dual behavior of an amphoteric substance.

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