Nursing Elites

1. What does bradycardia refer to in terms of heart rate?

• A. Normal (60-100 bpm)
• B. Slightly elevated (100-120 bpm)
• C. Significantly elevated (>120 bpm)
• D. Abnormally slow (<60 bpm)

Correct answer: D

Rationale: Bradycardia refers to an abnormally slow heart rate, typically defined as less than 60 beats per minute. This condition can result in inadequate blood flow to meet the body's demands. It is crucial to distinguish between bradycardia and tachycardia, which is a fast heart rate, as they require different management strategies. Options A, B, and C are incorrect because they describe normal, slightly elevated, and significantly elevated heart rates, respectively, rather than an abnormally slow heart rate characteristic of bradycardia. Recognizing bradycardia is essential for appropriate evaluation and intervention in clinical settings.

2. What is the role of the spindle apparatus in cell division?

• A. To separate sister chromatids
• B. To move chromosomes to opposite poles of the cell
• C. To form a new nuclear envelope around each daughter cell
• D. To synthesize new DNA

Correct answer: B

Rationale: The spindle apparatus, composed of microtubules, plays a crucial role in cell division (mitosis and meiosis) by ensuring proper chromosome separation and distribution to opposite poles of the cell. This segregation is vital for creating two genetically identical daughter cells in mitosis or four haploid daughter cells in meiosis. Choice A is incorrect because the separation of sister chromatids is specifically carried out by kinetochore fibers within the spindle apparatus. Choice C is inaccurate as the formation of a new nuclear envelope occurs post chromosome segregation. Choice D is incorrect as DNA synthesis does not occur within the spindle apparatus; it takes place during the S phase of the cell cycle.

3. Which structure of the nervous system carries an action potential in the direction of a synapse?

• A. Cell body
• B. Axon
• C. Neuron
• D. Myelin

Correct answer: B

Rationale: The correct answer is the axon. The axon is the elongated, threadlike part of a neuron that carries nerve impulses away from the cell body towards other neurons or target cells, such as muscles or glands, in the direction of a synapse. Action potentials travel along the axon as electrical signals to communicate with neighboring cells. The cell body (choice A) contains the nucleus and organelles but does not transmit action potentials. Neuron (choice C) is a broad term that includes the entire nerve cell, not a specific structure. Myelin (choice D) is a fatty substance that surrounds and insulates axons, aiding in the conduction of nerve impulses, but it does not directly carry the action potential towards a synapse.

4. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

5. Which of the following constituents of blood is a biconcave disc that is round and flat without a nucleus?

• A. Plasma
• B. Platelet
• C. RBC
• D. WBC

Correct answer: C

Rationale: The correct answer is C, RBC (Red Blood Cell). Red blood cells are biconcave discs that lack a nucleus, allowing them to carry oxygen efficiently. Plasma (A) is the liquid component of blood that carries various substances. Platelets (B) are cell fragments important for blood clotting. White blood cells (WBCs) (D) are part of the immune system and have a nucleus.

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