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. What is the tough, fibrous connective tissue that attaches muscle to bone?

• A. Fascia
• B. Perimysium
• C. Tendon
• D. Ligament

Correct answer: C

Rationale: Tendons are the correct answer as they are the tough, fibrous connective tissues that attach muscle to bone. They play a crucial role in transmitting the forces generated by muscle contraction to the bones, facilitating movement. Fascia surrounds muscles and provides support, perimysium is the connective tissue sheath around muscle fibers, and ligaments connect bone to bone, stabilizing joints, which makes them distinct from tendons.

3. What phenomenon occurs when a wave encounters a change in medium causing a change in its speed and direction?

• A. Refraction
• B. Reflection
• C. Diffraction
• D. Interference

Correct answer: A

Rationale: Refraction is the phenomenon that occurs when a wave encounters a change in medium, causing a change in its speed and direction. This change in speed and direction is due to the wave bending as it passes from one medium to another with a different density. It is essential to understand refraction as it plays a crucial role in various phenomena, such as the bending of light in lenses, the formation of rainbows, and the way seismic waves travel through the Earth's layers. Reflection, while also a wave phenomenon, involves the bouncing back of a wave when it encounters a boundary. Diffraction refers to the bending of waves around obstacles or through openings, and interference involves the combination of two or more waves to form a new wave pattern.

4. Why are elements in Group 18 (Noble gases) generally unreactive?

• A. They have high atomic masses
• B. They lack valence electrons
• C. Their outermost electron shells are completely filled
• D. They exist as single atoms, not molecules

Correct answer: C

Rationale: Elements in Group 18 (Noble gases) are generally unreactive because their outermost electron shells are completely filled. This results in high stability and low reactivity since they have achieved a full valence shell configuration, making them less likely to gain, lose, or share electrons with other atoms. The full valence shell configuration leads to a minimal tendency for these elements to form chemical bonds, hence exhibiting low reactivity. Choices A, B, and D are incorrect because high atomic masses, lack of valence electrons, and existing as single atoms do not directly contribute to the unreactivity of noble gases. It is the full valence shell configuration that is the primary reason for their inert nature.

5. The hypothalamus, a part of the brain, plays a crucial role in endocrine regulation. It secretes GnRH (Gonadotropin-releasing hormone) which stimulates the pituitary gland to produce FSH and LH. What is the MAIN function of FSH and LH?

• A. Regulate blood sugar levels
• B. Control growth and development
• C. Stimulate the fight-or-flight response
• D. Maintain calcium homeostasis

Correct answer: B

Rationale: FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone) are hormones produced by the pituitary gland in response to GnRH from the hypothalamus. FSH plays a key role in the growth and development of ovarian follicles in females and sperm production in males. LH is essential for the maturation of the ovarian follicle, ovulation, and the formation of the corpus luteum in females, as well as the production of testosterone in males. Therefore, the main function of FSH and LH is to control growth and development in the reproductive system. Choices A, C, and D are incorrect as they do not align with the roles of FSH and LH in reproductive physiology. Regulating blood sugar levels is primarily the function of insulin and glucagon, controlling the fight-or-flight response involves hormones like adrenaline and noradrenaline, and maintaining calcium homeostasis is mainly regulated by parathyroid hormone and calcitonin.

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