Nursing Elites

1. What are fingernails and toenails primarily made of?

• A. Collagen (Collagen is found in the dermis)
• B. Keratin
• C. Melanin (Melanin provides pigment, not structure)
• D. Sebum (Sebum is an oily substance)

Correct answer: B

Rationale: Fingernails and toenails are primarily made of a protein called keratin. Keratin is a tough, fibrous protein that provides structure and strength to nails, hair, and the outer layer of skin. Collagen, as mentioned, is found in the dermis and is not the primary component of nails. Melanin provides pigment to the skin and hair, not the structure of nails. Sebum is an oily substance produced by the skin's sebaceous glands and is not a structural component of nails.

2. What substance is required to drive the sliding filament process during muscle contraction?

• A. ATP
• B. Hormone
• C. Potassium
• D. Water

Correct answer: A

Rationale: The substance required to drive the sliding filament process during muscle contraction is ATP (adenosine triphosphate). ATP provides the energy needed for muscle contraction by enabling the myosin heads to bind to actin and generate force. This energy release drives the sliding of the filaments, causing muscle fibers to contract. Hormones, potassium, and water do not directly drive the sliding filament process in muscle contraction. Hormones are signaling molecules that regulate various physiological processes but do not directly provide energy for muscle contraction. Potassium is an electrolyte important for nerve and muscle function but is not the primary driver of the sliding filament process. Water is essential for overall hydration and bodily functions but does not directly participate in the muscle contraction process.

3. Which blood component is chiefly responsible for clotting?

• A. Platelets
• B. Red blood cells
• C. Antigens
• D. Plasma cells

Correct answer: A

Rationale: The correct answer is A: Platelets. Platelets are small cell fragments in the blood that play a crucial role in clotting. When there is an injury, platelets adhere to the site and release chemicals that help form a clot to prevent excessive bleeding. Red blood cells transport oxygen, antigens are substances that trigger an immune response, and plasma cells are a type of white blood cell involved in producing antibodies, none of which are primarily responsible for clotting.

4. What are the tiny contractile units within muscle cells called?

• A. Myocytes
• B. Myofibrils
• C. Sarcomeres
• D. Tendons

Correct answer: C

Rationale: Sarcomeres are the smallest contractile units within muscle cells. They consist of overlapping filaments of actin and myosin proteins, which interact to produce muscle contractions. Myocytes are the entire muscle cells, myofibrils are bundles of protein filaments found within muscle cells, and tendons are tough connective tissues that connect muscles to bones. Therefore, sarcomeres specifically represent the contractile units responsible for muscle contraction, making them the correct answer in this context.

5. What is the process by which muscle tissue wastes away due to disuse or lack of nutrients?

• A. Hypertrophy
• B. Atrophy
• C. Fibrosis
• D. Rigor mortis

Correct answer: B

Rationale: Atrophy is the correct term for the process by which muscle tissue wastes away due to disuse or lack of nutrients. It is essential to differentiate atrophy from hypertrophy, which is the increase in muscle size due to exercise or strength training. Fibrosis involves the formation of excess fibrous connective tissue, which is distinct from muscle wasting. Rigor mortis, on the other hand, is the stiffening of muscles that occurs after death and is not related to muscle wasting during life.

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