Nursing Elites

1. Which of the following body systems controls fluid loss, protects deep tissues, and synthesizes vitamin D?

• A. The skeletal system
• B. The muscular system
• C. The lymphatic system
• D. The integumentary system

Correct answer: D

Rationale: The integumentary system is responsible for controlling fluid loss through sweat, protecting deep tissues as the body's first line of defense, and synthesizing vitamin D when exposed to sunlight. The skin, hair, nails, and associated glands make up the integumentary system, which plays a crucial role in maintaining homeostasis and overall health. The skeletal system (Choice A) provides structural support and protection for internal organs but does not directly control fluid loss, protect deep tissues, or synthesize vitamin D. The muscular system (Choice B) is responsible for movement and stability but is not involved in the functions described. The lymphatic system (Choice C) is primarily responsible for immunity and fluid balance, not the specific functions mentioned in the question.

2. What is the term for the process of bone formation and breakdown?

• A. Ossification
• B. Resorption
• C. Remodeling
• D. All of the above

Correct answer: C

Rationale: The correct term for the process of bone formation and breakdown is remodeling. Ossification specifically refers to bone formation, while resorption pertains to bone breakdown. Remodeling encompasses both processes, as it involves the continuous cycle of bone formation and resorption to maintain bone strength and structure. Choice A, 'Ossification,' is incorrect as it only refers to bone formation. Choice B, 'Resorption,' is incorrect as it only refers to bone breakdown. Choice D, 'All of the above,' is incorrect as it includes terms that are not comprehensive of both bone formation and breakdown.

3. What is the outermost layer of the dermis, rich in collagen and elastin fibers that provide elasticity to the skin?

• A. Papillary layer
• B. Reticular layer
• C. Stratum basale
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is the reticular layer. This layer is the outermost layer of the dermis that contains abundant collagen and elastin fibers, providing elasticity to the skin. The papillary layer is located beneath the epidermis and is responsible for supplying nutrients to the epidermis, not the outermost layer. The stratum basale is the deepest layer of the epidermis where new skin cells are produced, not part of the dermis. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells, not a layer of the dermis.

4. How does the body maintain a relatively constant blood pH level, even with changes in blood carbon dioxide concentration?

• A. Cellular respiration
• B. Gas exchange
• C. Buffering system
• D. Deoxygenation

Correct answer: C

Rationale: The correct answer is C: Buffering system. The buffering system is responsible for maintaining a relatively constant blood pH level by minimizing changes in pH when acids or bases are added to the blood. This system consists of chemical compounds that can donate or accept protons to help stabilize the pH. Choice A, Cellular respiration, and Choice B, Gas exchange, are processes involved in gas exchange within the body, not specifically related to maintaining blood pH. Choice D, Deoxygenation, refers to the removal of oxygen from a substance and is not directly related to the regulation of blood pH.

5. 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.

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