Nursing Elites

1. What is the outermost protective layer of the kidney?

• A. Renal cortex
• B. Renal medulla
• C. Renal capsule
• D. Renal pelvis

Correct answer: C

Rationale: The correct answer is C, Renal capsule. The renal capsule is the outermost protective layer of the kidney. It is a tough fibrous layer that surrounds the kidney and helps protect it from injury and maintain its shape. Choice A, Renal cortex, is the outer region of the kidney where filtration occurs. Choice B, Renal medulla, is the inner region of the kidney where urine is formed. Choice D, Renal pelvis, is the funnel-shaped structure that collects urine from the kidney and funnels it into the ureter. Therefore, the renal capsule is specifically designated as the outermost protective layer of the kidney.

2. A routine urinalysis is a common diagnostic test. What does a urinalysis typically evaluate?

• A. Blood sugar levels
• B. Presence of white blood cells (indicating possible infection)
• C. Kidney function
• D. All of the above

Correct answer: D

Rationale: A routine urinalysis evaluates multiple components of urine, including blood sugar levels, the presence of white blood cells indicating a possible infection, and kidney function. Blood sugar levels are assessed to monitor for conditions like diabetes. The presence of white blood cells is checked to detect possible urinary tract infections. Kidney function is evaluated by assessing markers like creatinine and protein levels. Therefore, all of the above options are typically evaluated in a urinalysis, making choice D the correct answer.

3. When ethanol (C₂H₅OH) reacts with sodium metal (Na), what is the product?

• A. Ethene (C₂H₄)
• B. Sodium ethoxide (C₂H₅ONa)
• C. Ethane (C₂H₆)
• D. Sodium acetate (CH₃COONa)

Correct answer: B

Rationale: When ethanol (C₂H₅OH) reacts with sodium metal (Na), the product formed is Sodium ethoxide (C₂H₅ONa). This reaction is a classic example of a metal displacing hydrogen in an alcohol to form an alkoxide. In this specific case, sodium replaces the hydrogen in ethanol, resulting in the formation of sodium ethoxide. Choice A, Ethene (C₂H₄), is incorrect as it is a different compound formed from the dehydration of ethanol, not its reaction with sodium. Choice C, Ethane (C₂H₆), is incorrect as it is a saturated hydrocarbon, not the product of the reaction of ethanol with sodium metal. Choice D, Sodium acetate (CH₃COONa), is incorrect as it involves acetic acid, not ethanol, reacting with sodium to form the salt sodium acetate.

4. 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.

5. Which enzyme found in saliva is responsible for breaking down carbohydrates into smaller molecules like sugars?

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

Correct answer: B

Rationale: The correct answer is B. Saliva contains an enzyme called amylase, which specifically targets carbohydrates and breaks them down into smaller molecules like sugars. Pepsin, choice A, is an enzyme found in the stomach that breaks down proteins, not carbohydrates. Lipase, choice C, is responsible for breaking down fats, not carbohydrates. Trypsin, choice D, is an enzyme that breaks down proteins in the small intestine, not carbohydrates. Therefore, choices A, C, and D are incorrect for this question.

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