Nursing Elites

1. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

2. Which term refers to a position toward the feet? For example, the foot is part of the inferior extremity.

• A. Anterior
• B. Posterior
• C. Superior
• D. Inferior

Correct answer: D

Rationale: The correct answer is 'Inferior.' 'Inferior' refers to a position located towards the feet or lower part of the body. This is the opposite of 'superior,' which indicates a position towards the head or upper part of the body. 'Anterior' refers to the front of the body, 'posterior' refers to the back of the body, making them incorrect choices in this context.

3. Which muscles play a significant role in the process of forced exhalation by contracting to reduce the thoracic cavity volume?

• A. Diaphragm
• B. External intercostal muscles
• C. Internal intercostal muscles
• D. Abdominal muscles

Correct answer: D

Rationale: The abdominal muscles play a significant role in forced exhalation by contracting to reduce the thoracic cavity volume. When these muscles contract, the pressure within the thoracic cavity increases, assisting in the expulsion of air from the lungs. This action helps to compress the abdomen and push the diaphragm upwards, further decreasing the volume of the thoracic cavity and aiding in the exhalation process. The diaphragm (Choice A) is mainly involved in inhalation by contracting and moving downward to increase thoracic cavity volume. External intercostal muscles (Choice B) and internal intercostal muscles (Choice C) are primarily involved in the process of inhalation by expanding the thoracic cavity during normal breathing, rather than forced exhalation.

4. What type of muscle is found in the walls of hollow organs like the intestines?

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

Correct answer: B

Rationale: Smooth muscle is the correct type of muscle found in the walls of hollow organs like the intestines. It is responsible for movements such as peristalsis, aiding in the movement of food and other materials through the digestive system. Cardiac muscle (Choice A) is found in the heart and is responsible for the heart's contractions, not in hollow organs like the intestines. Skeletal muscle (Choice C) is attached to bones and responsible for voluntary movements, not in hollow organ walls. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control, unlike smooth muscle in hollow organ walls.

5. Which term describes the resistance of a substance to flow?

• A. Density
• B. Viscosity
• C. Conductivity
• D. Malleability

Correct answer: B

Rationale: Viscosity is the term used to describe the resistance of a substance to flow. It quantifies how thick or thin a fluid is and how easily it flows. Density (A) refers to the mass of a substance per unit volume and does not directly relate to resistance to flow. Conductivity (C) is the property of a material to conduct electricity or heat, not related to resistance to flow. Malleability (D) is the property of a material to be hammered or rolled into thin sheets, which is not related to resistance to flow.

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