Nursing Elites

1. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

2. What are stem cells that can develop into many different cell types, but not a complete organism, known as?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: C

Rationale: Pluripotent stem cells are capable of developing into many different cell types, but they cannot form a complete organism. Totipotent stem cells have the ability to give rise to all cell types in an organism, including extraembryonic tissues, enabling them to form a complete organism. Multipotent stem cells can differentiate into a limited range of cell types. Hematopoietic stem cells specifically give rise to blood cells.

3. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

4. What is the building block of DNA?

• A. Amino acid
• B. Nucleotide
• C. Phosphate group
• D. Fatty acid

Correct answer: B

Rationale: - Amino acids are the building blocks of proteins, not DNA. - Nucleotide is the correct building block of DNA. A nucleotide consists of a sugar (deoxyribose in DNA), a phosphate group, and a nitrogenous base (adenine, thymine, cytosine, or guanine). - The option 'C) Phosphate group' is incorrect as it is only part of a nucleotide, not the complete building block of DNA. - Fatty acids are not the building blocks of DNA; they are a type of lipid molecule.

5. What is the primary mode of CO2 transport in the body?

• A. Bicarbonate
• B. Carbamino compounds
• C. None of these
• D. Plasma

Correct answer: A

Rationale: The correct answer is A: Bicarbonate. In the body, the primary mode of CO2 transport is as bicarbonate. Carbon dioxide is converted to bicarbonate in red blood cells as part of the bicarbonate buffer system, which helps maintain the pH balance in the blood. Bicarbonate is then transported in the plasma to the lungs where it is converted back to carbon dioxide for exhalation. While carbamino compounds also play a role in CO2 transport by binding to amino groups on proteins, bicarbonate is the main mode of transport for carbon dioxide in the body. Options B, C, and D are incorrect as they do not represent the primary mechanism of CO2 transport in the body.

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