Nursing Elites

1. Which type of joint allows for the greatest range of motion?

• A. Hinge joint
• B. Ball-and-socket joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Ball-and-socket joint. The ball-and-socket joint, like the shoulder joint, allows for the greatest range of motion due to its structure, enabling movement in multiple directions. In contrast, hinge joints, pivot joints, and saddle joints have more restricted ranges of motion compared to ball-and-socket joints. Hinge joints primarily allow movement in one plane, pivot joints allow rotation around a central axis, and saddle joints have limited movement compared to ball-and-socket joints.

2. Which layer of the skin, containing connective tissue, blood vessels, and nerve endings, is located beneath the epidermis?

• A. Epidermis
• B. Dermis
• C. Hypodermis
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is the dermis. The dermis is the deeper layer of the skin that contains connective tissue, blood vessels, and nerve endings. It is located beneath the epidermis and provides structural support, nourishment, and sensitivity to the skin. The epidermis is the outermost layer of the skin responsible for protection. The hypodermis, also known as the subcutaneous layer, is the deepest layer that contains fat cells and plays a role in insulation and energy storage. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells that are continually shed and replaced.

3. What cells compose the epidermis?

• A. Keratinocytes
• B. Epithelial cells
• C. Fibroblasts
• D. Melanocytes

Correct answer: A

Rationale: The correct answer is A - Keratinocytes. The epidermis is primarily composed of keratinocytes, which are a type of epithelial cell. Keratinocytes synthesize the protein keratin, providing protection against physical damage and water loss. While epithelial cells are correct, specifying keratinocytes is more precise. Fibroblasts are not the main cell type in the epidermis; they are found in the dermis, where they produce collagen and other extracellular matrix components. Melanocytes are responsible for producing melanin pigment in the skin and are also present in the epidermis, but they are not the predominant cell type like keratinocytes.

4. What type of immunity does a vaccine provide? Choose only ONE best answer.

• A. Naturally acquired passive immunity
• B. Artificially acquired passive immunity
• C. Naturally acquired active immunity
• D. Artificially acquired active immunity

Correct answer: D

Rationale: The correct answer is D: Artificially acquired active immunity. Vaccines work by stimulating the immune system to produce an active response, leading to the development of immunity against specific pathogens. Choice A, naturally acquired passive immunity, is incorrect as it refers to the temporary immunity passed from mother to child, not through vaccines. Choice B, artificially acquired passive immunity, is also incorrect because passive immunity involves the transfer of pre-formed antibodies, not the stimulation of the immune system by vaccines. Choice C, naturally acquired active immunity, is incorrect since it is acquired through natural exposure to pathogens, not through vaccines.

5. What is the structural and functional unit of the kidney responsible for filtering blood?

• A. Nephron
• B. Ureter
• C. Urethra
• D. Bladder

Correct answer: A

Rationale: The nephron is the correct answer. It is the structural and functional unit of the kidney responsible for filtering blood. The nephron consists of a renal corpuscle (glomerulus and Bowman's capsule) and a renal tubule. Within the nephron, blood is filtered to form urine, which is then carried to the ureter for excretion from the body. Choices B, C, and D are incorrect because the ureter, urethra, and bladder are not involved in the filtration of blood in the kidney. Instead, they are parts of the urinary system responsible for transporting and storing urine.

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