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. What type of bond links amino acids together to form proteins?

• A. Hydrogen bond
• B. Ionic bond
• C. Disulfide bond
• D. Covalent bond

Correct answer: D

Rationale: Amino acids are linked together by covalent bonds to form proteins. Specifically, the bond that links amino acids together is called a peptide bond, which is a type of covalent bond. The peptide bond forms between the amino group of one amino acid and the carboxyl group of another amino acid, resulting in the formation of a peptide chain. While hydrogen bonds, ionic bonds, and disulfide bonds are important for protein structure and stability, the primary bond responsible for linking amino acids in a protein chain is the covalent peptide bond. Hydrogen bonds are involved in maintaining the secondary structure of proteins, such as alpha helices and beta sheets. Ionic bonds and disulfide bonds contribute to tertiary and quaternary structures of proteins by stabilizing interactions between different parts of the protein or between different protein subunits, respectively.

3. What is bile, where is it produced, where is it stored, and what is its function?

• A. Produced in the pancreas, stored in the liver, aids in digestion
• B. Produced in the liver, stored in the gallbladder, aids in fat digestion
• C. Produced in the stomach, stored in the pancreas, neutralizes acid
• D. Produced in the gallbladder, stored in the liver, breaks down proteins

Correct answer: B

Rationale: Bile is a digestive fluid produced in the liver, stored in the gallbladder, and it aids in the digestion of fats by emulsifying them. Emulsification helps to break down fats into smaller particles, facilitating their digestion by enzymes in the small intestine. Choice A is incorrect because bile is not produced in the pancreas, and it is not stored in the liver. Choice C is incorrect as bile is not produced in the stomach, and it does not neutralize acid. Choice D is also incorrect as bile is not produced in the gallbladder, and its primary function is not to break down proteins.

4. What happens to the kinetic energy of an object when its mass is doubled?

• A. Kinetic energy remains the same
• B. Kinetic energy halves
• C. Kinetic energy doubles
• D. Kinetic energy quadruples

Correct answer: A

Rationale: The correct answer is that the kinetic energy remains the same. Kinetic energy is directly proportional to the mass of an object and the square of its velocity. When the mass is doubled, the kinetic energy would increase if the velocity remains constant. However, in this question, only the mass is mentioned, not the velocity. Therefore, when the mass is doubled, the kinetic energy remains the same as long as the velocity remains constant. Choices B, C, and D are incorrect because they incorrectly suggest changes in kinetic energy that do not accurately reflect the relationship between mass and kinetic energy described in the question.

5. Which of the following pathologies is caused by a virus?

• A. Asthma
• B. Cystic Fibrosis
• C. Epiglottitis
• D. Influenza

Correct answer: D

Rationale: The correct answer is D, Influenza. Influenza is a viral infection caused by the influenza virus. Asthma and cystic fibrosis are not caused by viruses. Asthma is a chronic respiratory condition related to inflammation and airway constriction, while cystic fibrosis is a genetic disorder affecting the lungs and other organs. Epiglottitis is most commonly caused by bacteria, particularly Haemophilus influenzae type B, rather than a virus.

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