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 is an example of a fibrous protein?

• A. Insulin
• B. Keratin
• C. Hemoglobin
• D. Collagen

Correct answer: D

Rationale: A) Insulin is a hormone, not a fibrous protein. It is produced in the pancreas and regulates blood sugar levels. B) Keratin is a fibrous structural protein found in hair, nails, and the outer skin layer, providing strength and protection. C) Hemoglobin is a globular protein in red blood cells responsible for oxygen transport; it is not fibrous. D) Collagen is a fibrous protein found in tendons, ligaments, and skin, offering strength and structure to connective tissues. Therefore, the correct answer is collagen, making it the main component of various connective tissues.

3. Which of the following bones is part of the axial skeleton?

• A. Femur
• B. Humerus
• C. Skull
• D. Pelvis

Correct answer: C

Rationale: The correct answer is C: Skull. The axial skeleton consists of bones along the body's central axis, including the skull, vertebral column, ribs, and sternum. Choices A, B, and D are incorrect because the femur, humerus, and pelvis are part of the appendicular skeleton, which comprises the bones of the limbs and girdles.

4. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

5. Which component of the nervous system is responsible for controlling voluntary movements, such as the contraction of skeletal muscles?

• A. Autonomic nervous system
• B. Peripheral nervous system
• C. Somatic nervous system
• D. Sympathetic nervous system

Correct answer: C

Rationale: The correct answer is C: Somatic nervous system. The somatic nervous system is responsible for controlling voluntary movements, such as the contraction of skeletal muscles. This system consists of motor neurons that send signals from the central nervous system to the skeletal muscles, allowing for conscious control over movement. The autonomic nervous system (A) controls involuntary functions like heart rate and digestion, the peripheral nervous system (B) includes all nerves outside the central nervous system, and the sympathetic nervous system (D) is a division of the autonomic nervous system responsible for the fight-or-flight response. Therefore, choices A, B, and D are incorrect as they do not specifically regulate voluntary movements of skeletal muscles, which is a function of the somatic nervous system.

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