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. Which of the following substances is an example of an acidic gas?

• A. Nitrogen (N₂)
• B. Carbon dioxide (CO₂)
• C. Sulfur dioxide (SO₂)
• D. Oxygen (O₂)

Correct answer: C

Rationale: The correct answer is C, Sulfur dioxide (SO₂). Sulfur dioxide is an acidic gas because when dissolved in water, it forms sulfurous acid, which imparts acidic properties. Nitrogen (N₂), carbon dioxide (CO₂), and oxygen (O₂) are not considered acidic gases. Nitrogen is a neutral gas, carbon dioxide forms a weakly acidic solution when dissolved in water, and oxygen is a neutral gas.

3. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

4. How can a single gene mutation lead to multiple phenotypes depending on the organism?

• A. Pleiotropy describes the effect of one gene influencing multiple seemingly unrelated traits.
• B. Epigenetics involves environmental factors modifying gene expression without altering the DNA sequence.
• C. Genetic drift refers to random changes in allele frequencies within a population.
• D. Gene regulation controls the timing and level of gene expression within an organism.

Correct answer: A

Rationale: A single gene mutation can lead to multiple phenotypes through pleiotropy, where one gene influences diverse traits or functions in an organism. This phenomenon occurs when the mutated gene affects different biochemical pathways, developmental processes, or cellular functions, resulting in a cascade of downstream effects that manifest as a variety of phenotypic outcomes. Choice B, epigenetics, involves modifications in gene expression influenced by environmental factors without altering the DNA sequence, which is not directly related to the question about single gene mutations causing multiple phenotypes. Choice C, genetic drift, refers to random changes in allele frequencies within a population, which is unrelated to the impact of a single gene mutation on multiple phenotypes. Choice D, gene regulation, focuses on controlling the timing and level of gene expression within an organism, which is not directly addressing how a single gene mutation can lead to diverse phenotypes.

5. Where does gas exchange take place in the lungs?

• A. Bronchi
• B. Trachea
• C. Alveoli
• D. Pleura

Correct answer: C

Rationale: Gas exchange in the lungs occurs in the alveoli. Alveoli are tiny air sacs where oxygen from inhaled air diffuses into the bloodstream, and carbon dioxide from the blood diffuses into the alveoli to be exhaled. The bronchi are the main airways that branch off from the trachea, which is the windpipe connecting the larynx to the bronchi. The pleura is a membrane surrounding the lungs and lining the chest cavity, providing protection and lubrication for the lungs but not directly involved in gas exchange.

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