Nursing Elites

1. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels due to the presence of one-way valves within the vessels. These valves prevent the backflow of lymph and help propel the fluid forward as muscles contract and relax or due to breathing movements. Unlike blood circulation, the lymphatic system does not rely on the pumping action of the heart to move lymph. Choice A is incorrect because lymphatic circulation does not depend on the pumping action of the heart. Choice B is partly correct as muscle contractions and breathing movements do assist in propelling lymph, but the primary mechanism is the presence of one-way valves within the vessels, making choice C the most accurate answer. Choice D is incorrect as not all options listed contribute to how lymph moves through the lymphatic vessels.

2. What is the end product of glycolysis?

• A. Lactic acid
• B. ATP
• C. NADPH
• D. Pyruvic acid

Correct answer: D

Rationale: The correct answer is D: Pyruvic acid. The end product of glycolysis is pyruvic acid, not lactic acid, ATP, or NADPH. Pyruvic acid is a key intermediary in cellular respiration and can be further metabolized to produce energy through processes like the citric acid cycle and oxidative phosphorylation. Lactic acid is produced in the absence of oxygen during fermentation, ATP is a product of cellular respiration but not the direct end product of glycolysis, and NADPH is generated in other metabolic pathways such as the pentose phosphate pathway, not in glycolysis.

3. Examine the following decomposition reaction: ABC → ______. Which of the following is a possible set of products for this reaction?

• A. 2AB + C
• B. AB + CD
• C. A + BC
• D. B + C

Correct answer: C

Rationale: In a decomposition reaction, a single reactant breaks down into two or more products. For the decomposition of ABC, a plausible set of products is A + BC. This reaction represents the breakdown of ABC into two separate components: A and BC. The correct choice C aligns with the fundamental concept of decomposition reactions, where a compound disintegrates into simpler substances. Choices A, B, and D do not reflect a proper decomposition reaction as they do not demonstrate the breakdown of the original compound into distinct components.

4. Which part of the brainstem is responsible for controlling vital functions such as heart rate, blood pressure, and breathing?

• A. Medulla oblongata
• B. Pons
• C. Midbrain
• D. Cerebellum

Correct answer: A

Rationale: The medulla oblongata is the correct answer. It is responsible for controlling vital functions such as heart rate, blood pressure, and breathing. This part of the brainstem contains centers that regulate these essential autonomic functions to maintain homeostasis in the body. The pons and midbrain are also parts of the brainstem, but they are not primarily responsible for controlling these vital functions. The cerebellum, on the other hand, is involved in coordination and balance, not in regulating vital functions like heart rate, blood pressure, and breathing.

5. The function of synergists can best be described as which of the following? I. They assist primary movers in completing the specific movement II. They stabilize the point of origin and provide extra pull near the insertion III. They help prevent unwanted movement at a joint

• A. I, II
• B. I, III
• C. II, III
• D. All of the above

Correct answer: A

Rationale: Synergists are muscles that assist the primary movers (agonists) in completing specific movements (I). Additionally, they stabilize the point of origin and provide extra pull near the insertion, aiding in movement efficiency (II). While synergists may contribute to stability, their primary role is to assist in movement rather than prevent unwanted movement at a joint; hence, options I and II offer the most accurate descriptions of their function. Choice B is incorrect because synergists do not primarily help prevent unwanted movement at a joint (III). Choice C is incorrect as it combines stabilization of the point of origin and preventing unwanted movement, which is not the primary function of synergists.

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