Nursing Elites

1. Which type of immunity does the MMR vaccine provide?

• A. Artificial/active
• B. Artificial/passive
• C. Natural/active
• D. Natural/passive

Correct answer: A

Rationale: The correct answer is A: Artificial/active. The MMR vaccine provides artificial/active immunity. It works by introducing a weakened or killed form of the virus to trigger the body's immune response, leading to the production of antibodies that offer long-lasting protection against measles, mumps, and rubella. Artificial immunity is obtained through medical intervention, such as vaccination, while active immunity involves the immune system's direct response to an antigen. Choices B, C, and D are incorrect because the MMR vaccine does not provide passive immunity nor is it acquired naturally; instead, it stimulates the body to actively produce its immune response.

2. Skeletal muscles are attached to bones by tough connective tissues called

• A. Ligaments
• B. Tendons
• C. Cartilage
• D. Fascia

Correct answer: B

Rationale: Skeletal muscles are attached to bones by tough connective tissues called tendons. Tendons are strong, fibrous cords that connect muscles to bones, allowing for movement and stability in the body. Ligaments (option A) connect bones to other bones, not muscles to bones. Cartilage (option C) is firm and flexible connective tissue found in various parts of the body, but it does not attach muscles to bones. Fascia (option D) is a connective tissue that surrounds muscles, providing support and protection, but it does not directly attach muscles to bones.

3. Which hormone, produced by the pancreas, is released in response to low blood sugar levels and stimulates the release of glucose into the bloodstream?

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

Correct answer: B

Rationale: Glucagon is the hormone produced by the pancreas that is released in response to low blood sugar levels. It acts to stimulate the release of glucose into the bloodstream by promoting the breakdown of glycogen in the liver. Insulin, conversely, is released in response to high blood sugar levels and promotes the uptake of glucose by cells. Cortisol is a steroid hormone produced by the adrenal glands that regulates metabolism and the immune response. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism but is not involved in responding to low blood sugar levels.

4. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: A ball-and-socket joint allows for the most movement among the options provided. This type of joint is characterized by a rounded end of one bone fitting into a cup-like socket of another bone, allowing for a wide range of motion in multiple directions. The shoulder joint is a prime example of a ball-and-socket joint, enabling movements such as flexion, extension, abduction, adduction, and rotation. In contrast, a hinge joint (option B) like the elbow primarily allows for movement in one plane (flexion and extension). Fibrocartilaginous joints (option C) like the wrists have limited movement due to the presence of cartilage between the bones. Suture joints (option D) in the skull are immovable joints that provide structural support but do not allow for significant movement.

5. What is the term for the shedding of the outermost layer of the epidermis?

• A. Desquamation
• B. Exfoliation
• C. Keratinization
• D. Epidermolysis

Correct answer: A

Rationale: Desquamation is the correct term for the shedding of the outermost layer of the epidermis. This process is essential for skin renewal, allowing the removal of dead skin cells from the skin's surface. Exfoliation, on the other hand, involves the removal of dead skin cells through mechanical or chemical methods. Keratinization refers to the process where skin cells produce the protein keratin, contributing to the skin's protective barrier. Epidermolysis is a condition characterized by the separation of the epidermis from the dermis due to a structural defect in the skin.

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