Nursing Elites

1. Which of the following structures in the skin is responsible for producing sweat?

• A. Sebaceous gland
• B. Sudoriferous gland
• C. Hair follicle
• D. Melanocyte

Correct answer: B

Rationale: The correct answer is B: Sudoriferous gland. Sudoriferous glands, also known as sweat glands, are responsible for producing sweat to regulate body temperature. Sebaceous glands produce sebum (oil) to lubricate the skin and hair. Hair follicles are associated with hair growth, not sweat production. Melanocytes are responsible for producing melanin for skin pigmentation, not sweat.

2. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

3. What type of muscle tissue is responsible for causing the hair follicles to stand on end when you get a goosebump?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. None of the above

Correct answer: B

Rationale: Smooth muscle is responsible for causing the hair follicles to stand on end when you get a goosebump. This type of muscle tissue is found in the skin attached to hair follicles and contracts in response to stimuli such as cold or fear, causing the hair to stand up. Skeletal muscle is responsible for voluntary movements, and cardiac muscle is found in the heart and is not directly involved in causing goosebumps. Therefore, choices A, C, and D are incorrect as they do not represent the specific type of muscle tissue responsible for this physiological response.

4. Which hormone deficiency can lead to stunted growth and developmental delays in children?

• A. Estrogen
• B. Testosterone
• C. Growth hormone
• D. Insulin

Correct answer: C

Rationale: The correct answer is C, Growth hormone. Growth hormone plays a crucial role in stimulating growth, cell reproduction, and regeneration in children. A deficiency in growth hormone can lead to stunted growth and developmental delays. Estrogen and testosterone are sex hormones that do not directly influence growth in the same way as growth hormone. Insulin primarily regulates blood sugar levels and is not the primary hormone responsible for growth and development in children.

5. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

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