Nursing Elites

1. What generates action potentials, the all-or-nothing electrical signals traveling along neurons?

• A. Glucose
• B. Sodium and potassium ions
• C. Neurotransmitters
• D. Myelin

Correct answer: B

Rationale: Action potentials, the all-or-nothing electrical signals traveling along neurons, are generated by the movement of sodium and potassium ions across the neuronal membrane. This movement creates changes in the membrane potential, leading to the propagation of the electrical signal along the neuron. Glucose is a source of energy for neurons but is not directly involved in generating action potentials. Neurotransmitters are involved in communication between neurons but do not directly generate action potentials. Myelin is a fatty substance that insulates and speeds up the conduction of action potentials but does not generate them.

2. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

3. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: The correct answer is 'B: Cardiac muscle.' Cardiac muscle is the specific type of muscle found in the heart. Unlike smooth muscle and skeletal muscle, cardiac muscle is involuntary and contracts rhythmically to pump blood throughout the body, making it essential for the heart's function. Smooth muscle (Choice A) is found in the walls of hollow organs and blood vessels, while skeletal muscle (Choice C) is attached to bones and responsible for movement. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control.

4. Isotopes are variants of a single element that differ in:

• A. Having the same number of protons but varying numbers of neutrons
• B. Having the same number of neutrons but varying numbers of protons
• C. Having the same mass but different atomic numbers
• D. None of the above

Correct answer: A

Rationale: Isotopes are variants of a single element that have the same number of protons, the defining characteristic of an element. They differ in the number of neutrons they possess, leading to isotopes having different atomic masses while retaining the same chemical properties. Choice B is incorrect because isotopes have the same number of neutrons and differ in the number of protons. Choice C is incorrect because isotopes have different masses due to varying numbers of neutrons, not different atomic numbers. Choice D is incorrect as isotopes do differ in the number of neutrons they possess.

5. This chart indicates the number of sales of CDs, vinyl records, and MP3 downloads that occurred over the last year. Approximately what percentage of the total sales was from CDs?

• A. 55%
• B. 25%
• C. 40%
• D. 5%

Correct answer: C

Rationale: To determine the percentage of CD sales out of the total sales, we need to consider the total sales of CDs, vinyl records, and MP3 downloads. To find the percentage of CD sales, we divide the total sales of CDs by the sum of total sales of CDs, vinyl records, and MP3 downloads, and then multiply by 100. In this case, the correct calculation shows that CDs accounted for 40% of the total sales. Choice A (55%) is incorrect as it overestimates the contribution of CDs. Choice B (25%) is incorrect as it underestimates the percentage of CD sales. Choice D (5%) is also incorrect as it severely underestimates the share of CD sales in the total sales.

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