Nursing Elites

1. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction.

2. Which of the following is an example of aseptic technique?

• A. Washing hands with soap and water before surgery
• B. Coughing into your elbow
• C. Sharing a stethoscope without cleaning
• D. Leaving a wound dressing exposed

Correct answer: A

Rationale: Rationale: Aseptic technique refers to practices that help prevent the introduction of harmful microorganisms into a sterile environment. Washing hands with soap and water before surgery is an essential component of aseptic technique as it helps reduce the number of microorganisms on the hands, decreasing the risk of introducing pathogens into the surgical site. Coughing into your elbow is a good hygiene practice to prevent the spread of respiratory infections but is not specifically related to aseptic technique. Sharing a stethoscope without cleaning can introduce microorganisms from one patient to another, compromising aseptic conditions. Leaving a wound dressing exposed can lead to contamination and infection, which is contrary to aseptic technique.

3. Which of the following is a MAJOR consequence of a stroke?

• A. Irregular heart rhythm.
• B. Rapid weight gain or loss.
• C. Brain damage due to interrupted blood flow.
• D. Chronic fatigue and muscle weakness.

Correct answer: C

Rationale: The correct answer is C: 'Brain damage due to interrupted blood flow.' A stroke occurs when there is a sudden interruption in the blood supply to the brain, leading to brain damage. This interruption can result in various consequences such as paralysis, speech and vision problems, cognitive impairments, and in severe cases, even death. Other options like 'Irregular heart rhythm' (A) and 'Chronic fatigue and muscle weakness' (D) can be associated with health conditions but are not direct consequences of a stroke. 'Rapid weight gain or loss' (B) is typically not a major consequence of a stroke compared to the significant impact of brain damage.

4. he shimmering image of water seen on a hot road is a well-known example of:

• A. Reflection
• B. Refraction
• C. Interference
• D. Polarization

Correct answer: B

Rationale: The shimmering image of water seen on a hot road is a classic example of refraction. Refraction occurs when light waves pass from one medium to another, causing them to change direction due to the change in speed. In this scenario, the air above the road is hotter than the air closer to the ground, creating different densities of air which causes light to bend and distort, giving the illusion of water. Reflection, on the other hand, is the bouncing back of light waves from a surface, interference involves the superposition of two or more waves, and polarization is the orientation of light waves in a specific direction. Therefore, option B, refraction, is the correct answer in this case.

5. In meiosis I, how are sister chromatids distinguished from homologous chromosomes?

• A. Sister chromatids share the same centromere, while homologues have different centromeres.
• B. Sister chromatids have identical DNA sequences, while homologues have slightly different sequences due to crossing over.
• C. Sister chromatids repel each other, while homologues attract each other during synapsis.
• D. Sister chromatids separate during anaphase I, while homologues separate during anaphase II.

Correct answer: B

Rationale: While sister chromatids are identical copies of the same chromosome, homologous chromosomes are paired copies, each inherited from one parent. Crossing over during meiosis I can lead to slight differences in their DNA sequences.

6. What disease is characterized by progressive muscle weakness and wasting?

• A. Muscular dystrophy
• B. Myositis
• C. Fibromyalgia
• D. Carpal tunnel syndrome

Correct answer: A

Rationale: The correct answer is A: Muscular dystrophy. Muscular dystrophy is a genetic disorder characterized by progressive muscle weakness and wasting over time. It primarily affects skeletal muscles, leading to difficulties in movement and muscle function. Myositis is an inflammatory condition affecting the muscles, but it may not always result in progressive muscle weakness and wasting. Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain and fatigue, not necessarily progressive muscle weakness. Carpal tunnel syndrome is a compression neuropathy affecting the median nerve in the wrist, leading to symptoms like numbness and tingling in the hand, but it does not cause progressive muscle weakness and wasting like muscular dystrophy does.

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