Nursing Elites

1. What is the process of converting ammonia, a byproduct of protein digestion, into a less toxic form?

• A. Deamination
• B. Transamination
• C. Decarboxylation
• D. Hydrolysis

Correct answer: A

Rationale: Deamination is the correct answer. It is the process of removing an amino group from a molecule, like converting ammonia (NH3) into a less toxic form such as urea. Ammonia, a byproduct of protein digestion, must be converted into a less toxic form for excretion. Deamination is a crucial step that mainly occurs in the liver through the urea cycle. Transamination involves transferring an amino group from one molecule to another, not removing it as in deamination. Decarboxylation is the removal of a carboxyl group from a molecule, and hydrolysis is the breakdown of a compound by adding water.

2. Which of the following correctly lists the normal blood flow through the heart?

• A. Left ventricle, left atrium, body, right ventricle, right atrium, lungs
• B. Left atrium, left ventricle, lungs, right atrium, right ventricle, body
• C. Right atrium, right ventricle, lungs, left atrium, left ventricle, body
• D. Right ventricle, right atrium, body, left atrium, left ventricle, lungs

Correct answer: B

Rationale: The correct order of normal blood flow through the heart is as follows: from the body, blood flows into the right atrium, then to the right ventricle, followed by the lungs through the pulmonary artery for oxygenation. Oxygenated blood then returns to the heart through the pulmonary veins into the left atrium, then moves into the left ventricle before being pumped out to the body. Choice B correctly depicts this sequential flow of blood through the heart. Choices A, C, and D are incorrect as they do not follow the typical path of blood flow through the heart.

3. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: The correct answer is 'B: Cardiac muscle.' Cardiac muscle is the specific type of muscle found in the heart. Unlike smooth muscle and skeletal muscle, cardiac muscle is involuntary and contracts rhythmically to pump blood throughout the body, making it essential for the heart's function. Smooth muscle (Choice A) is found in the walls of hollow organs and blood vessels, while skeletal muscle (Choice C) is attached to bones and responsible for movement. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control.

4. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

5. Epithelial tissue, which covers surfaces, is further classified based on the number of cell layers. Simple epithelium has:

• A. No layers
• B. One layer
• C. Two to several layers
• D. Many tightly packed layers

Correct answer: B

Rationale: Simple epithelium consists of a single layer of cells. This type of epithelium is found in areas where absorption, secretion, and filtration occur, as it allows for efficient exchange of substances across the epithelial barrier. Simple epithelium is well-suited for diffusion and filtration processes due to its thin nature, enabling substances to pass through easily. Choice A, 'No layers,' is incorrect as epithelial tissue always consists of at least one cell layer. Choice C, 'Two to several layers,' describes stratified epithelium, not simple epithelium, which has only one layer. Choice D, 'Many tightly packed layers,' is more characteristic of stratified epithelium, where multiple layers of cells are present. Therefore, the correct answer is B: 'One layer.'

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