Nursing Elites

1. Which hormone, produced by the adrenal glands, prepares the body for a 'fight or flight' response by increasing heart rate, dilating airways, and mobilizing energy stores?

• A. Cortisol
• B. Aldosterone
• C. Epinephrine
• D. Insulin

Correct answer: C

Rationale: Epinephrine, also known as adrenaline, is the hormone produced by the adrenal glands that prepares the body for a 'fight or flight' response. It increases heart rate, dilates airways, and mobilizes energy stores to provide the body with the necessary resources to respond to a perceived threat or stressor. Cortisol, although produced by the adrenal glands, is not responsible for the 'fight or flight' response; it is involved in regulating metabolism, immune response, and stress. Aldosterone, another hormone produced by the adrenal glands, primarily regulates electrolyte and fluid balance. Insulin, produced by the pancreas, is responsible for regulating blood sugar levels and is not directly involved in the 'fight or flight' response.

2. What cells compose the epidermis?

• A. Keratinocytes
• B. Epithelial cells
• C. Fibroblasts
• D. Melanocytes

Correct answer: A

Rationale: The correct answer is A - Keratinocytes. The epidermis is primarily composed of keratinocytes, which are a type of epithelial cell. Keratinocytes synthesize the protein keratin, providing protection against physical damage and water loss. While epithelial cells are correct, specifying keratinocytes is more precise. Fibroblasts are not the main cell type in the epidermis; they are found in the dermis, where they produce collagen and other extracellular matrix components. Melanocytes are responsible for producing melanin pigment in the skin and are also present in the epidermis, but they are not the predominant cell type like keratinocytes.

3. During REM sleep, which type of brain wave activity is often seen and associated with dreaming?

• A. Delta waves
• B. Alpha waves
• C. Beta waves
• D. Theta waves

Correct answer: D

Rationale: Theta waves are the correct answer as they are often seen during REM (rapid eye movement) sleep, the stage of sleep closely related to dreaming. Theta waves have a frequency of 4-7 Hz and are typically present during deep relaxation, meditation, and light sleep stages. Delta waves (choice A) are associated with deep sleep stages, not REM sleep. Alpha waves (choice B) are present during wakefulness and relaxation but not predominantly during REM sleep. Beta waves (choice C) are associated with alertness, problem-solving, and active thinking, not specifically with REM sleep or dreaming.

4. How does sunscreen protect the skin from harmful ultraviolet (UV) rays?

• A. By reflecting UV rays away from the skin
• B. By absorbing UV rays and converting them to heat
• C. By blocking UV rays completely
• D. By stimulating melanin production

Correct answer: B

Rationale: Sunscreen works by absorbing UV rays and converting them to heat. This mechanism helps to prevent the UV rays from penetrating the skin and causing damage such as sunburn, premature aging, and skin cancer. Reflecting UV rays away from the skin (option A) is not the primary function of sunscreen. While sunscreen does block UV rays, it does not do so completely (option C) as some UV rays may still penetrate the skin. Sunscreen does not stimulate melanin production (option D) as a means of protecting the skin from UV rays.

5. Which of the following organs functions as both an endocrine and exocrine gland?

• A. The kidney
• B. The spleen
• C. The pancreas
• D. The stomach

Correct answer: C

Rationale: The pancreas is the correct answer as it functions as both an endocrine and exocrine gland. The endocrine function involves secreting insulin and glucagon into the bloodstream to regulate blood sugar levels, while the exocrine function involves releasing digestive enzymes into the small intestine to aid in digestion. The kidney (Choice A) primarily functions in the excretory system by filtering blood and producing urine. The spleen (Choice B) is involved in the immune system and blood storage but does not have endocrine or exocrine functions. The stomach (Choice D) is mainly an organ of the digestive system, secreting gastric juices to aid in digestion, but it does not have a dual endocrine and exocrine function like the pancreas.

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