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. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

3. What cellular process ensures the accurate transmission of genetic material during cell division?

• A. Mitosis (somatic cell division)
• B. Meiosis (germ cell division)
• C. Replication (DNA duplication)
• D. Transcription (DNA to RNA conversion)

Correct answer: A

Rationale: Mitosis is the correct answer. Mitosis is the process by which somatic cells divide to produce two identical daughter cells. During mitosis, the genetic material is accurately replicated and distributed to ensure each daughter cell receives a complete set of chromosomes. This process is crucial for growth, repair, and maintenance of multicellular organisms. Meiosis, on the other hand, is the type of cell division that occurs in germ cells to produce gametes (sperm and egg cells), focusing on genetic diversity through recombination and reduction of chromosome number. Replication is the process of copying DNA to produce an identical copy, essential for cell division but not the specific process ensuring accurate genetic material transmission. Transcription involves copying DNA into RNA, crucial for gene expression but not directly related to the accurate transmission of genetic material during cell division.

4. Where is keratin found?

• A. It is a protein-digesting enzyme released by the stomach.
• B. It is released in the neuromuscular junction.
• C. It is a protein found in the hypodermis.
• D. It is a protein found in hair.

Correct answer: D

Rationale: Keratin is a structural protein found in hair, skin, and nails, providing strength and protection. It forms the main structural component of hair, making choice D the correct answer. Choices A, B, and C are incorrect because keratin is not an enzyme released by the stomach, not released in the neuromuscular junction, and not found in the hypodermis. Remember that keratin is primarily associated with structural support in epithelial cells.

5. What type of bond is present in salt?

• A. Ionic
• B. Nonpolar covalent
• C. Polar covalent
• D. Peptide

Correct answer: A

Rationale: The correct answer is 'Ionic.' Ionic bonds are formed in salts through the transfer of electrons between atoms, leading to the attraction between positively and negatively charged ions. This results in a stable ionic compound, such as common table salt (sodium chloride). Nonpolar covalent, polar covalent, and peptide bonds are not typically found in salts. Nonpolar covalent bonds involve the equal sharing of electrons, polar covalent bonds involve unequal sharing of electrons, and peptide bonds are specific to proteins, not salts.

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