Nursing Elites

1. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

2. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

3. What is the process by which cells respond to external stimuli, such as chemicals, temperature, or touch, called?

• A. Signal transduction
• B. Homeostasis
• C. Adaptation
• D. Metabolism

Correct answer: A

Rationale: Signal transduction is the correct answer. It is the process by which cells respond to external stimuli like chemicals, temperature, or touch. When a cell receives a signal from its environment, it triggers a series of molecular events leading to a specific cellular response. This process involves transmitting signals from the cell surface to the interior, triggering various cellular activities. Homeostasis, on the other hand, refers to an organism's ability to maintain internal stability in response to external changes. Adaptation involves an organism adjusting to its environment over time through genetic changes or behavioral modifications, which is distinct from the process of cells responding to immediate external stimuli. Metabolism, although essential for cellular functions, is not specifically about cells responding to external stimuli but rather the biochemical processes involved in energy production, storage, and utilization within cells.

4. Which of the following organs does not belong with the others?

• A. Thyroid gland
• B. Stomach
• C. Intestines
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B - Stomach. The stomach is primarily involved in the digestive system, breaking down food through digestion. In contrast, the thyroid gland, intestines, and pancreas are part of the endocrine system or digestive system, involved in hormone production, nutrient absorption, and digestion. Therefore, the stomach stands out as the odd one in this group as it is the only organ specifically dedicated to digestion, while the others have dual roles or different primary functions.

5. Which of the following organs is responsible for detoxifying chemicals and metabolizing drugs?

• A. Kidneys
• B. Liver
• C. Heart
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Liver. The liver plays a crucial role in detoxifying chemicals and metabolizing drugs. It also produces bile for digestion. The liver contains enzymes that help metabolize drugs and toxins, making them easier for the body to eliminate. The kidneys are primarily responsible for filtering blood and regulating fluid balance, the heart's main function is to pump blood, and the pancreas produces digestive enzymes and hormones like insulin, but they do not have the primary function of detoxifying chemicals and metabolizing drugs.

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