Nursing Elites

1. What are the two main divisions of the skeletal system?

• A. Upper and lower body bones
• B. Axial and appendicular skeleton
• C. Long and short bones
• D. Compact and spongy bone

Correct answer: B

Rationale: The skeletal system is divided into two main divisions: the axial skeleton and the appendicular skeleton. The axial skeleton comprises the skull, vertebral column, and rib cage, providing structural support and protection for vital organs. On the other hand, the appendicular skeleton includes the bones of the upper and lower limbs, shoulder girdle, and pelvic girdle, facilitating movement and flexibility. The divisions are based on the location and function of the bones within the skeletal system, making choices A, C, and D incorrect as they do not represent the primary divisions of the skeletal system.

2. What is insulin, where is it produced, and what is its function?

• A. Produced in the liver, regulates fat storage
• B. Produced in the pancreas, regulates blood sugar
• C. Produced in the stomach, aids in digestion
• D. Produced in the kidneys, controls hydration

Correct answer: B

Rationale: Insulin is a hormone produced in the pancreas. Its primary function is to regulate blood sugar levels by facilitating the uptake of glucose by cells for energy. The other choices are incorrect as insulin is not produced in the liver (Choice A), stomach (Choice C), or kidneys (Choice D), and its function is not related to fat storage, digestion, or hydration. Therefore, the correct answer is B.

3. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

4. 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.

5. What is the tough, fibrous connective tissue that attaches muscle to bone?

• A. Fascia
• B. Perimysium
• C. Tendon
• D. Ligament

Correct answer: C

Rationale: Tendons are the correct answer as they are the tough, fibrous connective tissues that attach muscle to bone. They play a crucial role in transmitting the forces generated by muscle contraction to the bones, facilitating movement. Fascia surrounds muscles and provides support, perimysium is the connective tissue sheath around muscle fibers, and ligaments connect bone to bone, stabilizing joints, which makes them distinct from tendons.

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