Nursing Elites

1. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction. Dopamine is involved in reward and pleasure pathways, serotonin regulates mood and behavior, and norepinephrine is involved in the 'fight or flight' response.

2. Which of the following water-soluble vitamins is NOT synthesized in the large intestine?

• A. B6
• B. Biotin
• C. Pantothenic acid (Vitamin B5)
• D. Vitamin K

Correct answer: A

Rationale: The correct answer is A: B6. Vitamin B6 is not synthesized in the large intestine, while biotin, pantothenic acid (Vitamin B5), and Vitamin K can be synthesized by gut microflora. Biotin, B5, and K are examples of water-soluble vitamins that can be produced in the large intestine, but B6 needs to be obtained through dietary sources. Therefore, B6 is the correct answer as it is not synthesized within the large intestine, unlike the other options.

3. Which structure serves as the electrical stimulator of the cardiac muscle?

• A. The sinoatrial node
• B. The left ventricle
• C. The aorta
• D. The tricuspid valve

Correct answer: A

Rationale: The correct answer is the sinoatrial node. This node, also referred to as the pacemaker of the heart, is responsible for initiating the electrical impulses that stimulate cardiac muscle contractions. It plays a crucial role in setting the pace and rhythm of the heart's contractions. Choices B, C, and D (the left ventricle, the aorta, and the tricuspid valve, respectively) do not serve as the primary electrical stimulator of the cardiac muscle. While the left ventricle is a chamber of the heart that pumps oxygenated blood to the body, the aorta is the main artery that carries blood away from the heart, and the tricuspid valve is a one-way valve that ensures blood flows properly through the heart, none of these structures initiate the electrical impulses that cause the cardiac muscle to contract.

4. A substance is only considered acidic if it has a pH less than what?

• A. 12
• B. 9
• C. 7
• D. 4

Correct answer: C

Rationale: A substance is considered acidic if its pH is less than 7. pH values below 7 indicate acidity, while pH values above 7 indicate alkalinity or basicity. Substances with a pH less than 7 are categorized as acidic, not above it. Therefore, a substance is classified as acidic if its pH is less than 7, making choice C the correct answer. Choices A, B, and D are incorrect because a pH of 12, 9, and 4, respectively, are all above 7, and therefore not indicative of acidity.

5. What is the external body covering, providing protection and contributing to temperature regulation, composed of?

• A. Muscle tissue
• B. Epithelial tissue (skin)
• C. Bone marrow
• D. Cartilage

Correct answer: B

Rationale: The external body covering, which is the skin, is composed of epithelial tissue. Epithelial tissue serves as a protective barrier against pathogens, chemicals, and physical damage. It also helps regulate body temperature through processes like sweating. Choice A (Muscle tissue) is incorrect as muscles are responsible for movement and not the external body covering. Choice C (Bone marrow) is incorrect as it is a component of the skeletal system and not the external body covering. Choice D (Cartilage) is incorrect as cartilage is a type of connective tissue found in joints and the structure of some body parts, not the external body covering.

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