Nursing Elites

1. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

2. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

3. What is the purpose of an electrocardiogram?

• A. Indicate the rate of blood flow
• B. Display the heart's rate and rhythm
• C. Identify a person's blood group type
• D. Determine cell type in a blood sample

Correct answer: B

Rationale: An electrocardiogram (ECG or EKG) is used to measure and display the heart's rate and rhythm. It provides valuable information about the electrical activity of the heart, allowing healthcare providers to assess the heart's health, detect abnormalities in the heart's rhythm, and diagnose various cardiac conditions. Choices A, C, and D are incorrect. Choice A is incorrect because an ECG does not indicate the rate of blood flow but rather focuses on the heart's electrical activity. Choice C is incorrect because identifying a person's blood group type is typically done through blood typing tests, not ECG. Choice D is incorrect because determining cell type in a blood sample is unrelated to the purpose of an ECG.

4. Which of the following blood proteins can destroy pathogens?

• A. Complement system
• B. Fibrinogen
• C. Major histocompatibility complex
• D. Platelets

Correct answer: A

Rationale: The correct answer is A: Complement system. The complement system is a vital component of the immune system responsible for destroying pathogens through various mechanisms like promoting inflammation, enhancing phagocytosis, and directly lysing pathogens. Fibrinogen is crucial for blood clotting, the major histocompatibility complex is involved in immune responses, and platelets aid in blood clotting and wound healing. However, none of these directly destroy pathogens as the complement system does.

5. Which of the following correctly describes mitosis?

• A. Mitosis occurs in germ cells.
• B. Mitosis occurs in somatic cells.
• C. Mitosis involves the reduction of chromosome number by half.
• D. Mitosis produces four genetically different cells.

Correct answer: B

Rationale: The correct answer is B. Mitosis occurs in somatic cells where a single cell divides to produce two identical daughter cells. Germ cells undergo meiosis, not mitosis. Choice C is incorrect as mitosis results in the preservation of the same chromosome number in daughter cells. Choice D is inaccurate as mitosis produces genetically identical cells, not genetically different ones.

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