Nursing Elites

1. What is the primary function of the atrioventricular (AV) node within the heart?

• A. Generate the electrical impulse for contraction (pacemaker function)
• B. Transmit the electrical impulse from the atria to the ventricles, regulating the timing of contraction.
• C. Increase blood pressure within the ventricles during systole.
• D. Separate oxygenated and deoxygenated blood flow in the heart.

Correct answer: B

Rationale: The correct answer is B: Transmit the electrical impulse from the atria to the ventricles, regulating the timing of contraction. The primary function of the atrioventricular (AV) node is to coordinate the transmission of electrical signals between the atria and the ventricles. It ensures proper timing between atrial and ventricular contractions, allowing for efficient blood pumping through the heart. Choice A is incorrect because the AV node does not generate the initial electrical impulse; that role is typically attributed to the sinoatrial (SA) node. Choice C is incorrect as the AV node does not directly influence blood pressure within the ventricles. Choice D is also incorrect as the separation of oxygenated and deoxygenated blood is primarily achieved by the anatomical structure of the heart (e.g., atria and ventricles) and not the AV node.

2. Which of the following cell organelles is the site of lipid synthesis?

• A. smooth endoplasmic reticulum
• B. ribosome
• C. rough endoplasmic reticulum
• D. Golgi apparatus

Correct answer: A

Rationale: The correct answer is the smooth endoplasmic reticulum. This organelle lacks ribosomes on its surface, unlike the rough endoplasmic reticulum, which is involved in protein synthesis. The enzymes present in the smooth endoplasmic reticulum are responsible for synthesizing lipids such as phospholipids and steroids. Choice B, ribosomes, are responsible for protein synthesis and not lipid synthesis. Choice C, rough endoplasmic reticulum, is involved in protein synthesis due to the presence of ribosomes. Choice D, Golgi apparatus, is responsible for modifying, sorting, and packaging proteins for secretion, not lipid synthesis.

3. What type of genetic testing can reveal an individual's susceptibility to certain diseases?

• A. Karyotyping
• B. Pharmacogenomics
• C. Paternity testing
• D. Microarray analysis

Correct answer: D

Rationale: A) Karyotyping is a genetic test that examines an individual's chromosomes to detect abnormalities such as extra or missing chromosomes. It is not typically used to reveal an individual's susceptibility to certain diseases. B) Pharmacogenomics is the study of how genes affect a person's response to drugs. It focuses on how genetic variations can influence drug response, rather than susceptibility to diseases. C) Paternity testing is a genetic test used to determine the biological relationship between a child and an alleged father. It is not used to reveal an individual's susceptibility to diseases. D) Microarray analysis is a type of genetic testing that can reveal an individual's susceptibility to certain diseases by analyzing variations in their DNA. It can identify genetic markers associated with increased risk for specific conditions, allowing for personalized risk assessment and preventive measures.

4. How can the peripheral nervous system be further divided?

• A. Sensory and motor
• B. Sympathetic and parasympathetic
• C. Myelinated and unmyelinated
• D. Central and peripheral

Correct answer: A

Rationale: The peripheral nervous system can be further divided into sensory (afferent) neurons that carry information from sensory receptors to the central nervous system and motor (efferent) neurons that carry information from the central nervous system to muscles and glands. Choice A, 'Sensory and motor,' is the correct answer as it accurately identifies the two main functional divisions of the peripheral nervous system. Choices B, 'Sympathetic and parasympathetic,' are divisions of the autonomic nervous system, not the peripheral nervous system. Choice C, 'Myelinated and unmyelinated,' refers to the structural classification of nerve fibers rather than functional divisions. Choice D, 'Central and peripheral,' contrasts the central nervous system with the peripheral nervous system, not further dividing the peripheral nervous system itself.

5. Which of the following correctly orders the layers of the epidermis from most superficial to deepest?

• A. S. spinosum, S. basale, S. corneum, S. granulosum, S. lucidum
• B. S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale
• C. S. corneum, S. spinosum, S. basale, S. granulosum, S. lucidum
• D. S. basale, S. spinosum, S. granulosum, S. lucidum, S. corneum

Correct answer: B

Rationale: The correct order of the layers of the epidermis from most superficial to deepest is: Stratum corneum, Stratum lucidum, Stratum granulosum, Stratum spinosum, Stratum basale. Choice B, 'S. corneum, S. lucidum, S. granulosum, S. spinosum, S. basale,' provides the accurate layering from the outermost to the innermost layer of the epidermis. Choice A is incorrect as it starts with Stratum spinosum, which is not the most superficial layer. Choice C is incorrect as it places Stratum spinosum before Stratum basale. Choice D is incorrect as it starts with Stratum basale, which is the deepest layer of the epidermis.

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