Nursing Elites

1. Which muscle has involuntary cells that are branched and striated and connected by intercalated discs with gap junctions?

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

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle cells fit the description provided in the question; they are involuntary, striated, and branched, with intercalated discs containing gap junctions that allow for synchronized contractions of the heart. Smooth muscle (choice A) lacks striations and is found in the walls of internal organs. Skeletal muscle (choice C) is voluntary and attaches to bones for movement. 'Epithelial muscle' (choice D) is not a valid muscle type, making it an incorrect choice.

2. What is the breakdown product of creatine phosphate, an energy source used for short bursts of muscle activity?

• A. Glucose
• B. Lactic acid
• C. Carbon dioxide
• D. Creatine

Correct answer: B

Rationale: Creatine phosphate is utilized as an immediate energy source for short bursts of muscle activity. When it breaks down, it yields lactic acid as a byproduct. Lactic acid accumulation during intense exercise can lead to muscle fatigue and soreness. Therefore, the correct answer is lactic acid. The other choices are incorrect: Glucose is a different energy source derived from carbohydrates; Carbon dioxide is a waste product of cellular respiration, not specifically from creatine phosphate breakdown; Creatine is the precursor compound to creatine phosphate and is not the breakdown product.

3. Which hormone, produced by the pancreas, acts in opposition to insulin by increasing blood sugar levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: Glucagon is the correct answer. Produced by the pancreas, glucagon acts in opposition to insulin by increasing blood sugar levels. Glucagon promotes the breakdown of glycogen into glucose in the liver, leading to the release of glucose into the bloodstream. Insulin, on the other hand, lowers blood sugar levels by facilitating the uptake of glucose into cells. Cortisol is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and metabolism. Thyroxine is a hormone produced by the thyroid gland and is primarily responsible for regulating metabolism.

4. What is the primary function of the mucous membrane lining the muscular tube connecting the mouth to the stomach?

• A. Secretion of digestive enzymes
• B. Absorption of nutrients
• C. Lubrication and protection
• D. Storage of bile

Correct answer: C

Rationale: The primary function of the mucous membrane lining the muscular tube connecting the mouth to the stomach is to provide lubrication and protection. This mucous membrane serves to protect the esophageal lining from damage caused by the passage of food and liquids. It also aids in facilitating the smooth passage of food from the mouth to the stomach by lubricating it, ensuring easier movement. Choices A, B, and D are incorrect as the mucous membrane does not secrete digestive enzymes, absorb nutrients, or store bile. Its main role is primarily related to lubricating and protecting the lining of the tube.

5. What is the recommended daily fluid intake for adults?

• A. 1 liter
• B. 2 liters
• C. 3 liters
• D. 4 liters

Correct answer: B

Rationale: The recommended daily fluid intake for adults is typically around 2 liters, which is equivalent to about 8 cups or half a gallon. This amount can vary depending on factors such as age, gender, weight, activity level, and climate. Staying adequately hydrated is essential for overall health and helps maintain proper bodily functions, such as regulating body temperature, aiding digestion, and transporting nutrients and oxygen throughout the body. Drinking enough fluids also helps prevent dehydration, which can lead to symptoms like fatigue, headaches, and dizziness. Choice A, 1 liter, is insufficient and may not meet the body's hydration needs, while choices C and D, 3 liters and 4 liters, respectively, are excessive for most adults and could potentially lead to overhydration, which may have negative health consequences. It's important to note that individual fluid needs may vary, so it's always best to consult with a healthcare provider for personalized recommendations.

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