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. Through what tubes does urine travel from the kidneys to the bladder?

• A. Urethra
• B. Ureters
• C. Renal arteries
• D. Renal veins

Correct answer: B

Rationale: The correct answer is 'Ureters.' The ureters are the tubes that transport urine from the kidneys to the bladder. The urethra, not a choice in this question, is the tube responsible for carrying urine from the bladder out of the body. Renal arteries and veins are blood vessels that respectively supply and drain the kidneys, not involved in the transport of urine to the bladder.

3. Which of the following types of stem cells can differentiate into any cell type, including forming an entire organism?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: A

Rationale: Totipotent stem cells possess the unique ability to differentiate into any cell type, including forming an entire organism. These cells have the highest potency level and can give rise to both embryonic and extraembryonic cell types, allowing them to develop into a complete organism. Multipotent stem cells (Choice B) can differentiate into a limited range of cell types within a specific tissue or organ. Pluripotent stem cells (Choice C) can differentiate into any cell type in the body except for those needed to support and develop a fetus. Hematopoietic stem cells (Choice D) are a type of multipotent stem cell that can differentiate into various blood cell types.

4. During nuclear transmutation, a target nucleus is bombarded with a particle to create:

• A. A heavier isotope of the same element
• B. A lighter isotope of the same element
• C. An entirely new element
• D. A chain reaction of nuclear fission

Correct answer: C

Rationale: During nuclear transmutation, a target nucleus is bombarded with a particle to create an entirely new element. This process involves changing the number of protons in the nucleus, resulting in the creation of a different element. Options A and B are incorrect because nuclear transmutation leads to the formation of a new element, not a heavier or lighter isotope of the same element. Option D, a chain reaction of nuclear fission, is incorrect as nuclear transmutation involves the direct conversion of one element into another through bombardment with particles, not the initiation of a fission chain reaction.

5. Which of the following substances can donate a hydroxide ion (OH-) in solution?

• A. Salt
• B. Base
• C. Neutral compound
• D. Dehydrating agent

Correct answer: B

Rationale: The correct answer is B: Base. A base is a substance that can donate hydroxide ions (OH-) in solution. Bases increase the concentration of hydroxide ions by either accepting protons (H+) or donating hydroxide ions. Salts are ionic compounds made of cations and anions, which do not directly donate hydroxide ions. Neutral compounds do not significantly affect the concentration of hydroxide ions. Dehydrating agents are substances that remove water molecules from other compounds, unrelated to donating hydroxide ions.

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