Nursing Elites

1. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

2. Which type of muscle is responsible for voluntary movements?

• A. Smooth
• B. Skeletal
• C. Cardiac
• D. Involuntary

Correct answer: B

Rationale: The corrected question is asking about the type of muscle responsible for voluntary movements, which is skeletal muscle (Choice B). Skeletal muscle is under conscious control and is responsible for voluntary movements like walking or lifting objects. Smooth muscle (Choice A) is found in organs like the intestines and blood vessels, responsible for involuntary movements. Cardiac muscle (Choice C) is specific to the heart and is also involuntary. 'Involuntary' (Choice D) is a general term and does not specify a type of muscle responsible for voluntary movements.

3. In a balanced chemical equation, the coefficients represent the:

• A. Number of elements
• B. Ratio of reactants and products
• C. Physical state of the substances
• D. Rate of the reaction

Correct answer: A

Rationale: The correct answer is A: 'Number of elements.' In a balanced chemical equation, coefficients represent the ratio of moles of each species involved in the reaction. They indicate the relative number of molecules or formula units of each compound taking part in the reaction. Choice B, 'Ratio of reactants and products,' is incorrect because the coefficients in a balanced equation do not represent the ratio of reactants and products directly, but rather the stoichiometry of the reaction. Choice C, 'Physical state of the substances,' is incorrect because the physical states (solid, liquid, gas, or aqueous) are denoted with symbols next to the chemical formula, not the coefficients. Choice D, 'Rate of the reaction,' is incorrect as coefficients in a balanced equation do not provide information about the rate of the reaction, which is determined by factors like temperature, concentration, and catalysts.

4. A scientist wants to conduct quantitative research. Which method should they use?

• A. Collecting patient narratives.
• B. Tracking the dosage of a drug and its blood levels in the patient.
• C. Observing a patient's physical changes.
• D. Writing journal notes about the research experience.

Correct answer: B

Rationale: In quantitative research, numerical data is collected and analyzed. Choice B, tracking the dosage of a drug and its blood levels in the patient, involves collecting quantitative data, making it the correct method. Choices A, C, and D involve qualitative data such as narratives, physical observations, and journal notes, which do not align with the quantitative research method.

5. What are isotopes?

• A. Atoms of the same element with different numbers of protons.
• B. Atoms of the same element with different numbers of neutrons.
• C. Atoms of different elements with the same number of protons.
• D. Atoms of different elements with the same number of electrons.

Correct answer: B

Rationale: Isotopes are atoms of the same element with different numbers of neutrons. While isotopes share the same number of protons, which determines the element, they differ in the number of neutrons. This variance in neutron count results in isotopes having different atomic masses. Choice A is incorrect because isotopes have the same number of protons (same element) but differ in the number of neutrons. Choice C is incorrect as it describes atoms of different elements, not isotopes of the same element. Choice D is also incorrect because isotopes can have different numbers of electrons, but what defines isotopes is the variation in neutron numbers.

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