Nursing Elites

1. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

2. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

3. Which of the following is an example of a salt?

• A. Sodium hydroxide (NaOH)
• B. Hydrochloric acid (HCl)
• C. Sodium chloride (NaCl)
• D. Sulfuric acid (H₂SO₄)

Correct answer: C

Rationale: Sodium chloride (NaCl) is an example of a salt. Salts are ionic compounds formed by the reaction of an acid with a base. In this case, sodium chloride is formed by the reaction of sodium hydroxide (a base) with hydrochloric acid (an acid). Sodium hydroxide (NaOH), hydrochloric acid (HCl), and sulfuric acid (H₂SO₄) are not salts because they are not formed by the neutralization reaction of an acid and a base, which is a characteristic of salts.

4. Passive transport does not require energy input from the cell. Which of the following is an example of passive transport?

• A. Active transport of ions across a membrane
• B. Diffusion of small molecules across a concentration gradient
• C. Movement of large molecules using vesicles
• D. Endocytosis of particles into the cell

Correct answer: B

Rationale: Passive transport refers to the movement of molecules across a cell membrane without the input of energy. Diffusion of small molecules across a concentration gradient is a classic example of passive transport, as it occurs spontaneously from an area of high concentration to an area of low concentration. Active transport (option A) requires energy input in the form of ATP to move substances against their concentration gradient. Movement of large molecules using vesicles (option C) involves processes like endocytosis and exocytosis that require energy in the form of ATP. Endocytosis of particles into the cell (option D) is an active process that requires energy expenditure by the cell to engulf and internalize extracellular substances.

5. Which hormone is responsible for regulating blood sugar levels and is produced by the pancreas?

• A. Insulin
• B. Glucagon
• C. Testosterone
• D. Estrogen

Correct answer: A

Rationale: Insulin is the correct answer. It is the hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose from the blood into cells for energy production or storage. Glucagon, also produced by the pancreas, has the opposite effect of increasing blood sugar levels by promoting the release of stored glucose from the liver. Testosterone and estrogen are sex hormones produced by the testes and ovaries, respectively, and are not directly involved in regulating blood sugar levels.

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