Nursing Elites

1. Which term refers to the point of contact between a motor neuron and a muscle fiber, where communication occurs to initiate muscle contraction?

• A. Sarcomere
• B. Synapse
• C. Tendon
• D. Myofibril

Correct answer: b

Rationale: The correct answer is B: Synapse. A synapse is the point of contact between a motor neuron and a muscle fiber. At the synapse, communication occurs in the form of neurotransmitters being released from the neuron and binding to receptors on the muscle fiber, initiating muscle contraction. A sarcomere refers to the basic contractile unit of a muscle fiber, not the point of contact between a motor neuron and muscle fiber. A tendon is a fibrous connective tissue that connects muscle to bone, not the communication point. Myofibril is a structure within muscle fibers that contains sarcomeres, but it is not the specific term for the point of contact between a motor neuron and muscle fiber.

2. What is the process by which the body maintains 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 body maintains a relatively constant blood pH level through the buffering system, which consists of chemical substances that can absorb excess hydrogen ions or release hydrogen ions to adjust pH levels. This system helps prevent drastic changes in blood pH even when there are fluctuations in blood carbon dioxide concentration. Cellular respiration and gas exchange are processes related to obtaining and utilizing oxygen, while deoxygenation refers to the removal of oxygen from a substance. Therefore, the buffering system is specifically responsible for regulating blood pH levels in response to changes in carbon dioxide concentration.

3. Edema is a condition characterized by swelling caused by a buildup of lymph fluid. What factors can contribute to edema?

• A. Regular exercise
• B. Maintaining a healthy weight
• C. Poor circulation or blockage in the lymphatic system
• D. Proper hydration

Correct answer: C

Rationale: Edema is a condition where there is an abnormal accumulation of fluid in the body tissues, leading to swelling. Poor circulation or blockage in the lymphatic system can contribute to edema by hindering the proper drainage of lymph fluid. When the lymphatic system is not functioning efficiently, it can result in fluid retention and swelling in the affected areas. Regular exercise and maintaining a healthy weight can actually help improve circulation and lymphatic flow, reducing the risk of edema. Proper hydration is important for overall health but specifically does not directly contribute to the development of edema as poor circulation or lymphatic blockages do.

4. Which of the following organs is NOT directly involved in urine production?

• A. Kidneys
• B. Urethra
• C. Lungs
• D. Bladder

Correct answer: C

Rationale: The correct answer is C: Lungs. The lungs are not directly involved in urine production. The kidneys are responsible for filtering waste products from the blood to create urine. The urethra is the tube that carries urine from the bladder out of the body. The bladder serves as a temporary storage reservoir for urine. In contrast, the lungs are primarily responsible for the exchange of gases, such as oxygen and carbon dioxide, during respiration and are not directly involved in the process of urine production.

5. The primary function of the atrioventricular (AV) node within the heart is to:

• A. Generate the electrical impulse for contraction (pacemaker function)
• B. Transmit the electrical impulse from atria to ventricles, regulating the timing of contraction.
• C. Increase blood pressure within the ventricles during systole.
• D. Separate oxygenated and deoxygenated blood flow in the heart.

Correct answer: B

Rationale: The correct answer is B: "Transmit the electrical impulse from atria to ventricles, regulating the timing of contraction." The AV node acts as a gateway between the atria and ventricles, ensuring a coordinated and sequential contraction of the heart chambers. It delays the conduction of electrical impulses to allow the atria to fully contract before the ventricles contract, facilitating efficient blood pumping. Options A, C, and D are incorrect because the primary role of the AV node is not to generate electrical impulses, increase blood pressure, or separate blood flow based on oxygenation status. Understanding the AV node's function is crucial in comprehending the heart's electrical conduction system.

6. A triangular scarf has sides measuring 10cm, 12cm, and 15cm. What is its perimeter?

• A. 27cm
• B. 32cm
• C. 37cm
• D. 45cm

Correct answer: C

Rationale: Simply add the lengths of all sides: perimeter = side1 + side2 + side3 = 10cm + 12cm + 15cm = 37cm.

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