Nursing Elites

1. Which of the following is the cardiac muscle layer that forms the bulk of the heart?

• A. Endocardium
• B. Epicardium
• C. Fibrous skeleton
• D. Myocardium

Correct answer: D

Rationale: The correct answer is D, Myocardium. The myocardium is the cardiac muscle layer that comprises the majority of the heart's muscle mass. It is responsible for the heart's contractions, allowing it to pump blood throughout the body. The endocardium is the innermost layer of the heart lining the chambers, while the epicardium is the outermost layer covering the heart. The fibrous skeleton provides structural support and serves as an attachment point for cardiac muscle fibers. Therefore, choices A, B, and C are incorrect as they do not represent the primary muscle layer of the heart.

2. Which structure of the nervous system carries an action potential in the direction of a synapse?

• A. Cell body
• B. Axon
• C. Neuron
• D. Myelin

Correct answer: B

Rationale: The correct answer is the axon. The axon is the elongated, threadlike part of a neuron that carries nerve impulses away from the cell body towards other neurons or target cells, such as muscles or glands, in the direction of a synapse. Action potentials travel along the axon as electrical signals to communicate with neighboring cells. The cell body (choice A) contains the nucleus and organelles but does not transmit action potentials. Neuron (choice C) is a broad term that includes the entire nerve cell, not a specific structure. Myelin (choice D) is a fatty substance that surrounds and insulates axons, aiding in the conduction of nerve impulses, but it does not directly carry the action potential towards a synapse.

3. What is the name of a condition where the heart rate is 118 beats per minute (bpm)?

• A. Tachycardia
• B. Apnea
• C. Bradycardia
• D. Tachypnea

Correct answer: A

Rationale: The correct answer is A: Tachycardia. Tachycardia is a condition characterized by a heart rate that exceeds the normal resting rate, typically above 100 bpm. In this case, a heart rate of 118 bpm falls within the range of tachycardia. Apnea (choice B) refers to the temporary cessation of breathing, not related to heart rate. Bradycardia (choice C) is a condition of an abnormally slow heart rate, opposite of the given heart rate. Tachypnea (choice D) is an abnormally rapid breathing rate, not related to heart rate.

4. What macromolecules are proteins that speed up chemical reactions and act as biological catalysts?

• A. Lipids
• B. Enzymes
• C. Carbohydrates
• D. Nucleic acids

Correct answer: B

Rationale: Enzymes are proteins that act as biological catalysts, speeding up chemical reactions without being consumed in the process. Lipids, carbohydrates, and nucleic acids do not serve as proteins that function as catalysts; they have different biological roles. Lipids are primarily used for energy storage, structural components, and signaling molecules. Carbohydrates are mainly for energy storage and providing structural support. Nucleic acids are involved in genetic information storage and transfer. Therefore, the correct answer is B: Enzymes.

5. How does ingested food move through the digestive tract?

• A. Chewing, digestion, absorption
• B. Swallowing, peristalsis, segmentation
• C. Swallowing, mastication, defecation
• D. Digestion, absorption, excretion

Correct answer: B

Rationale: The correct answer is B: Swallowing, peristalsis, segmentation. Food moves through the digestive tract by first being swallowed, then undergoing peristalsis (wave-like movements that propel food along the digestive tract), and finally undergoing segmentation (mixing movements in the intestines). Chewing and digestion occur in the mouth and stomach, respectively, while absorption and excretion happen later in the digestive process. Choice A is incorrect as absorption is a later stage in the process. Choice C is incorrect because defecation is the elimination of waste, not the movement of food. Choice D is incorrect as excretion is the elimination of waste products, not the movement of ingested food through the digestive tract.

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