Nursing Elites

1. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

2. Which of the following is a type of white blood cell that plays a key role in adaptive immunity by seeking out, attacking, and destroying targeted pathogens?

• A. memory B cells
• B. neutrophils
• C. antibodies
• D. cytotoxic T cells

Correct answer: D

Rationale: The correct answer is cytotoxic T cells. Cytotoxic T cells are a type of white blood cell that is crucial in adaptive immunity. They are specialized in recognizing and destroying infected or abnormal cells in the body. Neutrophils are primarily involved in innate immunity, providing rapid response to infections. Antibodies are proteins produced by B cells and are essential in specific immune responses, but they do not directly attack pathogens. Memory B cells are part of the adaptive immune response, responsible for mounting a quicker and stronger response upon re-exposure to a pathogen. However, they do not directly seek out and destroy pathogens like cytotoxic T cells do.

3. What is the purpose of genetic counseling?

• A. To treat genetic disorders.
• B. To diagnose genetic diseases in newborns.
• C. To provide information and support to individuals and families with genetic risks.
• D. To collect DNA samples for research purposes.

Correct answer: C

Rationale: The purpose of genetic counseling is to provide information and support to individuals and families with genetic risks. Genetic counselors aim to explain the implications of genetic testing, discuss risks and options, and offer emotional and psychological support to help individuals make informed decisions regarding their genetic health. Choice A is incorrect because genetic counseling is not focused on treatment but rather on providing information and support. Choice B is incorrect as genetic counselors do not primarily diagnose genetic diseases in newborns but rather provide guidance and support based on existing diagnoses. Choice D is not the purpose of genetic counseling; genetic counselors do not collect DNA samples for research purposes but instead focus on assisting individuals and families in understanding and managing their genetic risks.

4. A researcher wants to conduct qualitative research. Which method should they use?

• A. Collecting patient narratives
• B. Tracking the dosage of a drug and its blood levels in the patient
• C. Observing a patient's physical changes
• D. Writing journal notes about the research experience

Correct answer: A

Rationale: Qualitative research focuses on gathering non-numerical, descriptive data to explore experiences, behaviors, or perspectives. Collecting patient narratives aligns with qualitative research as it involves capturing detailed accounts of individuals' experiences or viewpoints. Choices B, C, and D involve more quantitative approaches by focusing on measurable quantities, observations, or structured note-taking, which are not characteristic of qualitative research methods.

5. Which of the following statements about prions is TRUE?

• A. They are composed of proteins only
• B. They are easily destroyed by common disinfectants
• C. hey are a type of antibiotic
• D. They are a live organism

Correct answer: A

Rationale: A) This statement is true. Prions are infectious agents composed entirely of protein, lacking nucleic acids such as DNA or RNA. They are known for causing neurodegenerative diseases in animals and humans. B) This statement is false. Prions are not easily destroyed by common disinfectants due to their unique structure and resistance to conventional sterilization methods. C) This statement is false. Prions are not a type of antibiotic. They are a distinct class of infectious agents. D) This statement is false. Prions are not live organisms but rather misfolded proteins that can induce abnormal folding in normal proteins, leading to disease.

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