Nursing Elites

1. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The most common location for an ectopic pregnancy is the fallopian tube. This occurs when the fertilized egg implants and grows outside the uterus, typically in the fallopian tube. Ectopic pregnancies in other locations such as the ovary, cervix, or vagina are much rarer. The fallopian tube is the correct answer because it is the site where the fertilized egg may get stuck during its journey to the uterus, leading to implantation and growth outside the uterus. The ovary is not a common site for ectopic pregnancy, and implantation there can be life-threatening due to the risk of severe bleeding. The cervix and vagina are not typical sites for implantation of a fertilized egg, making them less likely locations for an ectopic pregnancy.

2. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

3. In which position allows access to the stomach?

• A. Medial
• B. Prone
• C. Superficial
• D. Supine

Correct answer: B

Rationale: The question now specifies the need for a position that allows access to the stomach. The correct answer is 'B: Prone.' In the prone position, the patient lies face down, which facilitates access to the stomach for various procedures or examinations. Choice A, 'Medial,' refers to a direction rather than a patient position. Choice C, 'Superficial,' describes a superficial depth rather than a patient position. Choice D, 'Supine,' is a position where the patient lies face up, which does not provide easy access to the stomach.

4. The kidneys are bean-shaped organs responsible for filtering waste products from the blood. What is the main nitrogenous waste product the kidneys eliminate?

• A. Carbon dioxide
• B. Ammonia
• C. Urea
• D. Glucose

Correct answer: C

Rationale: The correct answer is C, urea. Urea is the main nitrogenous waste product eliminated by the kidneys. It is produced in the liver from protein metabolism and excreted in urine. Carbon dioxide is eliminated through the lungs as a waste product of cellular respiration and not by the kidneys. Ammonia, a toxic waste product, is converted to urea in the liver before being excreted by the kidneys. Glucose is a sugar that is reabsorbed by the kidneys and not excreted as waste.

5. Which of the following statements is NOT true about DNA?

• A. DNA contains the nucleotides A, T, C, G and is read 5' to 3'.
• B. DNA contains genetic information and is tightly coiled with proteins to form chromosomes.
• C. DNA contains the nucleotides A, T, C, G and is read 3' to 5'.
• D. DNA is a double-stranded molecule connected by hydrogen bonds.

Correct answer: C

Rationale: The correct answer is C because DNA is typically read from the 5' end to the 3' end, not from 3' to 5'. Choices A, B, and D are all true statements about DNA. DNA contains the nucleotides A, T, C, G and is read in a 5' to 3' direction. DNA also contains genetic information and is tightly coiled with proteins to form chromosomes. Additionally, DNA is a double-stranded molecule connected by hydrogen bonds.

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