Nursing Elites

1. Which of the following compounds often contains a carboxyl group?

• A. Carbohydrates
• B. Glycolipids
• C. Amino Acids
• D. DNA

Correct answer: C

Rationale: The correct answer is C: Amino Acids. Amino acids, the building blocks of proteins, contain both an amine group and a carboxyl group. The carboxyl group (-COOH) is crucial for the structure and function of proteins as it participates in peptide bond formation. Carbohydrates and DNA do not typically contain carboxyl groups as a functional group. Glycolipids consist of a carbohydrate chain linked to a lipid, but they do not inherently contain a carboxyl group.

2. 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.

3. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

4. A routine urinalysis is a common diagnostic test. What does a urinalysis typically evaluate?

• A. Blood sugar levels
• B. Presence of white blood cells (indicating possible infection)
• C. Kidney function
• D. All of the above

Correct answer: D

Rationale: A routine urinalysis evaluates multiple components of urine, including blood sugar levels, the presence of white blood cells indicating a possible infection, and kidney function. Blood sugar levels are assessed to monitor for conditions like diabetes. The presence of white blood cells is checked to detect possible urinary tract infections. Kidney function is evaluated by assessing markers like creatinine and protein levels. Therefore, all of the above options are typically evaluated in a urinalysis, making choice D the correct answer.

5. Centrioles are structures involved in cell division. What is their specific role?

• A. Forming the nuclear envelope
• B. Replicating DNA
• C. Organizing microtubules during cell division
• D. Protein synthesis

Correct answer: C

Rationale: Centrioles are involved in organizing microtubules during cell division, specifically in forming the mitotic spindle. The mitotic spindle is crucial for the proper alignment and separation of chromosomes during cell division, ensuring the accurate distribution of genetic material to daughter cells. Choice A, forming the nuclear envelope, is incorrect as centrioles do not have a direct role in this process. Choice B, replicating DNA, is incorrect as centrioles are not involved in DNA replication. Choice D, protein synthesis, is incorrect as centrioles do not play a role in protein synthesis.

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