Nursing Elites

1. How are the motor pathways of the ANS arranged?

• A. Single neuron from CNS to target organ
• B. Two neurons, a pre-ganglionic and post-ganglionic neuron
• C. Multiple neurons from CNS to target organ
• D. Single neuron from CNS to peripheral ganglia

Correct answer: B

Rationale: The correct answer is B. The motor pathways of the autonomic nervous system (ANS) are organized with two neurons: a pre-ganglionic neuron that transmits the signal from the central nervous system (CNS) to a ganglion, and a post-ganglionic neuron that conveys the signal from the ganglion to the target organ. This dual-neuron pathway enables the integration and modulation of signals before reaching the target organ, allowing for a more sophisticated and adaptable control system. Choice A is incorrect as it describes a single neuron pathway, which is not characteristic of ANS motor pathways. Choice C is incorrect as it suggests multiple neurons from the CNS to the target organ, which is not the typical arrangement. Choice D is incorrect as it describes a single neuron pathway from the CNS to peripheral ganglia, which does not account for the ganglionic transmission in ANS motor pathways.

2. What is hemoglobin?

• A. an enzyme
• B. a protein
• C. a lipid
• D. an acid

Correct answer: B

Rationale: Hemoglobin is a protein found in red blood cells that plays a crucial role in transporting oxygen from the lungs to the tissues and organs in the body. It is composed of four protein subunits, each containing a heme group that binds to oxygen molecules. Choice A is incorrect as hemoglobin is not an enzyme, but rather a protein. Choice C is incorrect as hemoglobin is not a lipid, but a protein. Choice D is incorrect as hemoglobin is not an acid, but a protein.

3. Melanin, the pigment responsible for skin color, is produced by

• A. Keratinocytes (These cells produce keratin)
• B. Melanocytes
• C. Sebocytes (These cells produce sebum)
• D. Langerhans cells (These cells are part of the immune system)

Correct answer: B

Rationale: Melanocytes are the cells responsible for producing melanin, the pigment that determines skin color. Melanin gives skin its color and protects it from the harmful effects of UV radiation. Keratinocytes produce keratin, a tough protein that forms the outer layer of the skin, hair, and nails. Sebocytes produce sebum, an oily substance that helps moisturize and protect the skin. Langerhans cells are a type of immune cell found in the skin that play a role in protecting against infections and foreign substances but do not produce melanin.

4. Which of the following is a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (H₂CO₃)

Correct answer: B

Rationale: Hydrochloric acid (HCl) is a strong acid because it completely ionizes in water to produce hydrogen ions, leading to a high concentration of H⁺ ions in solution. This characteristic makes it a strong acid. Acetic acid (CH₃COOH), citric acid, and carbonic acid (H₂CO₃) are weak acids as they only partially ionize in water, resulting in a lower concentration of H⁺ ions compared to strong acids. Therefore, hydrochloric acid is the correct choice as a strong acid.

5. Which vitamin plays a vital role in immune function?

• A. Vitamin A
• B. Vitamin B12
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is the correct answer. It plays a vital role in immune function by regulating the immune system and enhancing the pathogen-fighting effects of monocytes and macrophages. Deficiency in Vitamin D has been linked to increased susceptibility to infections and autoimmune diseases, highlighting its importance in maintaining a healthy immune response. Vitamin A (Choice A) is essential for vision and skin health but is not primarily known for its role in immune function. Vitamin B12 (Choice B) is important for red blood cell formation and neurological function, not specifically immune function. Vitamin E (Choice D) acts as an antioxidant and is beneficial for skin health and cell function, but it is not primarily associated with immune system support.

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