Nursing Elites

1. Which of the following electrolytes plays an essential role in the clotting of blood?

• A. sodium
• B. magnesium
• C. calcium
• D. potassium

Correct answer: C

Rationale: Calcium plays an essential role in the clotting of blood by being involved in several steps of the coagulation process. It is necessary for the conversion of prothrombin to thrombin, which is a crucial step in forming blood clots. Sodium, magnesium, and potassium do not directly participate in the clotting cascade and are not associated with the coagulation process. Therefore, the correct answer is calcium.

2. Maintaining a stable internal environment typically requires

• A. positive feedback mechanisms.
• B. an unstable outside environment.
• C. decreased atmospheric pressure.
• D. negative feedback mechanisms.

Correct answer: D

Rationale: The correct answer is 'negative feedback mechanisms.' In biological systems, negative feedback mechanisms help maintain homeostasis by counteracting any deviations from the set point. They work to stabilize internal conditions and keep them within a narrow range. On the other hand, positive feedback mechanisms amplify changes and are not involved in maintaining stability. Choice B, 'an unstable outside environment,' is incorrect as internal stability is independent of external conditions like weather. Choice C, 'decreased atmospheric pressure,' is also incorrect as it does not directly relate to internal homeostasis.

3. What is the maximum capacity of a normal adult bladder before involuntary micturition is likely to occur?

• A. 800-900ml
• B. 300-600ml
• C. 1000-2000ml
• D. 400-700ml

Correct answer: B

Rationale: The correct answer is B: 300-600ml. A normal adult bladder can hold approximately 300-600ml of urine before the urge to urinate becomes strong and involuntary micturition is likely to occur. Choice A (800-900ml), Choice C (1000-2000ml), and Choice D (400-700ml) all exceed the typical capacity of a normal adult bladder and would generally not be accurate in the context of involuntary micturition.

4. A parietal layer of a serous membrane lines cavities, whereas a visceral layer of a serous membrane covers organs.

• A. covers organs; lines cavities
• B. lines cavities; covers organs
• C. secretes serous fluid; secretes mucus
• D. secretes mucus; secretes a serous fluid

Correct answer: B

Rationale: In serous membranes, the parietal layer lines the cavities, providing support and protection, while the visceral layer covers the organs, reducing friction and allowing them to move freely. Therefore, the correct answer is 'lines cavities; covers organs.' Choices C and D are incorrect because serous membranes do not secrete mucus; instead, they secrete a watery serous fluid. Choice A is incorrect as it reverses the functions of the parietal and visceral layers in relation to organs and cavities.

5. When does cell death first occur?

• A. At age 60.
• B. At age 50.
• C. At puberty.
• D. In the fetus.

Correct answer: D

Rationale: Cell death, also known as apoptosis, first occurs during fetal development when specific cells are programmed to die. This process is essential for shaping and organizing tissues and organs. Choices A, B, and C are incorrect because cell death begins much earlier, during fetal development, rather than later in life or at puberty. Understanding the timing of cell death in different stages of life is crucial in developmental biology.

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