Nursing Elites

1. Which of the following describes a reflex arc?

• A. The storage and recall of memory
• B. The maintenance of visual and auditory acuity
• C. The autoregulation of heart rate and blood pressure
• D. A stimulus and response controlled by the spinal cord

Correct answer: D

Rationale: Choice D correctly describes a reflex arc. A reflex arc is a neural pathway that controls a reflex action. It involves a specific sequence of events that occur in response to a stimulus, which is rapidly and involuntarily processed by the spinal cord. The spinal cord coordinates the quick processing of sensory input and the generation of a motor response without involving the brain, allowing for rapid protective responses. Choices A, B, and C are incorrect because they do not accurately describe a reflex arc. A reflex arc is specifically related to the rapid and involuntary response to a stimulus through neural pathways involving the spinal cord, not memory storage, visual and auditory acuity maintenance, or heart rate and blood pressure autoregulation.

2. How many electrons are typically found in each shell of a neutral aluminum atom with 13 electrons in its electron cloud?

• A. 6 in the first shell, 7 in the second shell
• B. 2 in the first shell, 11 in the second shell
• C. 2 in the first shell, 8 in the second shell, 3 in the third shell
• D. 3 in the first shell, 5 in the second shell, 5 in the third shell

Correct answer: C

Rationale: In a neutral aluminum atom with 13 electrons, the electron distribution typically follows the electron shell filling order based on the Aufbau principle. The first shell can hold a maximum of 2 electrons, the second shell can hold up to 8 electrons, and the third shell can hold up to 8 electrons as well. Therefore, the distribution would be 2 electrons in the first shell, 8 electrons in the second shell, and 3 electrons in the third shell, totaling 13 electrons. Choice A is incorrect as it exceeds the maximum number of electrons the shells can hold. Choice B is incorrect as it does not distribute the electrons correctly among the shells. Choice D is incorrect as it also does not distribute the electrons correctly among the shells.

3. The kidneys are bean-shaped organs responsible for filtering waste products from the blood. What is the main nitrogenous waste product the kidneys eliminate?

• A. Carbon dioxide
• B. Ammonia
• C. Urea
• D. Glucose

Correct answer: C

Rationale: The correct answer is C, urea. Urea is the main nitrogenous waste product eliminated by the kidneys. It is produced in the liver from protein metabolism and excreted in urine. Carbon dioxide is eliminated through the lungs as a waste product of cellular respiration and not by the kidneys. Ammonia, a toxic waste product, is converted to urea in the liver before being excreted by the kidneys. Glucose is a sugar that is reabsorbed by the kidneys and not excreted as waste.

4. What is a contraceptive method that uses hormones to prevent ovulation?

• A. Spermicide
• B. Barrier method (condom, diaphragm)
• C. Combined oral contraceptive pill
• D. Intrauterine device (IUD)

Correct answer: C

Rationale: The correct answer is the Combined oral contraceptive pill (C). This method contains hormones (estrogen and progestin) that prevent ovulation, making it an effective contraceptive. Spermicide (A) is a substance that kills sperm and does not use hormones to prevent ovulation. Barrier methods (B) like condoms and diaphragms physically block sperm but do not involve hormone-induced prevention of ovulation. Intrauterine devices (IUDs) (D) prevent pregnancy through different mechanisms, such as altering the uterine environment and preventing sperm from fertilizing the egg, not by hormone-induced prevention of ovulation.

5. What is the main function of lysosomes?

• A. Breaking down and recycling cellular waste
• B. Storing carbohydrates
• C. Synthesizing lipids
• D. Transcribing DNA into mRNA

Correct answer: A

Rationale: The main function of lysosomes is to break down and recycle cellular waste materials, such as old organelles, foreign substances, and cellular debris. This process is crucial for maintaining cellular homeostasis and proper functioning. Storing carbohydrates (B), synthesizing lipids (C), and transcribing DNA into mRNA (D) are not functions typically associated with lysosomes. Storing carbohydrates is primarily done by other organelles like vacuoles. Synthesizing lipids is a function usually associated with the endoplasmic reticulum and transcribing DNA into mRNA occurs in the nucleus by the process of transcription.

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