Nursing Elites

1. In which type of cell would you expect to find a high concentration of lysosomes?

• A. Cardiac cells
• B. Glandular cells
• C. Immune cells
• D. Neurons

Correct answer: C

Rationale: The correct answer is C: Immune cells. Immune cells, such as macrophages, contain many lysosomes for breaking down pathogens. Lysosomes are organelles responsible for digestion and waste removal within the cell, and immune cells require a high concentration of lysosomes to aid in their defense mechanisms against pathogens. Choice A, Cardiac cells, is incorrect because lysosomes are not primarily abundant in cardiac cells. Choice B, Glandular cells, is incorrect as well since lysosomes are not specifically concentrated in glandular cells. Choice D, Neurons, is also incorrect because while lysosomes are present in neurons, they are not typically found in high concentrations compared to immune cells.

2. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: Trypsin is the correct enzyme that breaks down proteins into amino acids. It is produced by the pancreas and released into the small intestine to facilitate protein digestion. Pepsin is an enzyme from the stomach that also breaks down proteins, amylase targets carbohydrates, and lipase works on fats. In this context, since the question specifies the pancreas and small intestine, the correct answer is Trypsin as it is the pancreatic enzyme responsible for protein breakdown in the small intestine.

3. 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.

4. What do isotopes of the same element have in common?

• A. Identical number of protons and neutrons.
• B. Identical chemical properties.
• C. Identical number of electrons.
• D. Identical mass number.

Correct answer: D

Rationale: Isotopes of the same element have the same number of protons, which defines the element, but different numbers of neutrons. This difference in neutron count results in isotopes of the same element having different mass numbers. Chemical properties are determined by the arrangement of electrons in an atom, so isotopes of the same element may exhibit slightly different chemical behaviors due to different neutron numbers. The number of electrons can vary in isotopes, affecting their charge. However, the mass number, which is the sum of protons and neutrons, is the same for isotopes of the same element. Therefore, the correct answer is that isotopes of the same element share an identical mass number.

5. Which of the following is NOT a recommended method for preventing healthcare-associated infections (HAIs)?

• A. Handwashing with soap and water
• B. Proper use of personal protective equipment (PPE)
• C. Disinfecting and reusing sterile medical devices
• D. Using single-use sterile medical devices

Correct answer: C

Rationale: Disinfecting and reusing sterile medical devices is not a recommended method for preventing healthcare-associated infections (HAIs). Reusing sterile medical devices can increase the risk of infections due to inadequate sterilization or potential damage to the devices during the reprocessing process. Proper sterilization and disposal of single-use medical devices are essential in preventing the transmission of infections in healthcare settings. A) Handwashing with soap and water is a crucial method for preventing HAIs as it helps to remove and reduce the number of pathogens on the hands of healthcare workers, preventing the spread of infections. B) Proper use of personal protective equipment (PPE) such as gloves, gowns, masks, and eye protection is important in preventing the transmission of infections between patients and healthcare workers. C) Disinfecting and reusing sterile medical devices is not a recommended practice as it can lead to the transmission of infections if the devices are not adequately sterilized. Using single-use sterile medical devices helps to ensure that each patient receives a sterile device, reducing the risk of infections.

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