Nursing Elites

1. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

2. Which statement is true about the pH of a solution?

• A. A solution cannot have a pH less than 0.
• B. A solution always has a pH of 7.
• C. A solution's pH is not influenced by its chemical composition.
• D. A solution with a pH of 14 is considered acidic.

Correct answer: A

Rationale: The pH scale ranges from 0 to 14, with 0 being the most acidic, 7 neutral, and 14 the most basic. A solution with a pH less than 0 would be outside the defined pH range, as 0 is the lower limit. Therefore, a solution cannot have a pH less than 0. Choice B is incorrect because a pH of 7 is considered neutral, not always the pH of a solution. Choice C is incorrect because a solution's pH is influenced by its chemical composition. Choice D is incorrect as a solution with a pH of 14 is considered highly basic, not acidic.

3. Which of the following is NOT a function of the skeletal system?

• A. Support and structure
• B. Production of red blood cells
• C. Storage of minerals like calcium
• D. Insulation of the body

Correct answer: D

Rationale: The skeletal system's primary functions include support and structure, protection of internal organs, movement facilitation, production of blood cells, and storage of minerals like calcium. Insulation of the body is not a function of the skeletal system. Insulation, typically involving fat under the skin, helps regulate body temperature but is not a direct function of the skeletal system. Choice B, the production of red blood cells, is a function of the skeletal system as it occurs in the bone marrow within the bones. Choices A and C are also correct functions of the skeletal system.

4. Which of the following is NOT a function of the cardiovascular system?

• A. Transporting oxygen to cells
• B. Maintaining blood pressure
• C. Carrying waste products to the kidneys for removal
• D. Initiating the immune response

Correct answer: D

Rationale: The cardiovascular system is responsible for transporting oxygen to cells (A), maintaining blood pressure (B), and carrying waste products to the kidneys for removal (C). Initiating the immune response (D) is not a function of the cardiovascular system. The immune response is primarily carried out by the immune system, which includes organs like the spleen, thymus, and lymph nodes. Therefore, option D is the correct answer as it pertains to a function outside the scope of the cardiovascular system, making it the odd one out among the given choices.

5. 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.

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