Nursing Elites

1. Which of the following layers of the skin does not contain blood vessels?

• A. Hypodermis
• B. Dermis
• C. Epidermis
• D. Hyperdermis

Correct answer: C

Rationale: The epidermis is the outermost layer of the skin and is avascular, meaning it does not contain blood vessels. It receives nutrients through diffusion from the underlying dermis. The hypodermis is the subcutaneous tissue beneath the dermis and contains blood vessels. The dermis is the layer of skin between the epidermis and hypodermis, which contains blood vessels, nerves, hair follicles, and sweat glands. 'Hyperdermis' is not a correct anatomical term and is not a layer of the skin, making it an incorrect choice for this question.

2. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folds and coils of the protein's polypeptide backbone. This level of structure is characterized by the formation of alpha helices and beta sheets, which are stabilized by hydrogen bonds between amino acids along the polypeptide chain. Choice A, Primary, refers to the linear sequence of amino acids in the protein. Choice C, Tertiary, involves the 3D folding of the entire polypeptide chain. Choice D, Quaternary, pertains to the arrangement of multiple polypeptide subunits in a protein complex.

3. What is the fatty sheath that insulates some nerve fibers and speeds up signal transmission called?

• A. Myelin sheath
• B. Dura mater
• C. Pia mater
• D. Arachnoid mater

Correct answer: A

Rationale: The correct answer is A: Myelin sheath. The myelin sheath is a fatty layer that surrounds and insulates some nerve fibers, facilitating the rapid transmission of signals along the nerve fibers. Choices B, C, and D (Dura mater, Pia mater, and Arachnoid mater) are layers of the meninges, protective membranes that surround the brain and spinal cord. The primary function of the meninges is to protect and support the central nervous system, not to insulate nerve fibers for signal transmission.

4. Which hormone, produced by the pancreas, acts in opposition to insulin by increasing blood sugar levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: Glucagon is the correct answer. Produced by the pancreas, glucagon acts in opposition to insulin by increasing blood sugar levels. Glucagon promotes the breakdown of glycogen into glucose in the liver, leading to the release of glucose into the bloodstream. Insulin, on the other hand, lowers blood sugar levels by facilitating the uptake of glucose into cells. Cortisol is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and metabolism. Thyroxine is a hormone produced by the thyroid gland and is primarily responsible for regulating metabolism.

5. Which blood component is responsible for the production of antibodies?

• A. Platelets
• B. Red blood cells
• C. White blood cells
• D. Plasma cells

Correct answer: C

Rationale: White blood cells, specifically B lymphocytes or B cells, are responsible for producing antibodies as part of the immune response. When the body encounters foreign substances (antigens), B cells are activated to differentiate into plasma cells, which then produce antibodies to target and neutralize the antigens. Platelets are involved in blood clotting and not in antibody production. Red blood cells are primarily responsible for carrying oxygen in the blood and do not produce antibodies. Plasma cells are actually differentiated B cells that produce antibodies, but the question asks for the blood component responsible for the production of antibodies, which is the white blood cells.

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