Nursing Elites

1. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

2. Which of the following is NOT a symptom of asthma, a chronic respiratory condition?

• A. Wheezing
• B. Difficulty breathing
• C. Chest tightness
• D. Fever

Correct answer: D

Rationale: The correct answer is 'Fever.' Fever is not a symptom commonly associated with asthma. Asthma symptoms typically include wheezing, difficulty breathing, and chest tightness due to inflammation and narrowing of the airways. Fever is more commonly seen in conditions such as infections or inflammatory diseases rather than asthma. Choices A, B, and C are common symptoms of asthma and are related to the constriction and inflammation of the airways, leading to breathing difficulties and chest discomfort.

3. Which of the following is LEAST likely to be found in a human cell's genes?

• A. Sequences of amino acids to be transcribed into mRNA
• B. Lethal recessive traits like sickle cell anemia
• C. Mutated DNA
• D. DNA that codes for proteins the cell doesn't use

Correct answer: D

Rationale: Human cells typically contain genes that code for proteins necessary for the cell's functions. DNA that codes for proteins the cell doesn't use would be an inefficient use of the cell's resources. Therefore, it is less likely to be found in a human cell's genes. Options A, B, and C are more commonly associated with genes found in human cells. Choice A refers to the genetic information needed for protein synthesis, while choice B involves traits that can be present in the gene pool. Mutated DNA (choice C) can also be found in human cells as a result of genetic alterations. However, DNA that codes for proteins not utilized by the cell would be redundant and not typically retained in the genome.

4. Which of the following statements is correct based on anatomical terms?

• A. The shoulder joint is proximal to the neck.
• B. The elbow joint is superior to the shoulder.
• C. The thoracic vertebrae are superior to the cervical vertebrae.
• D. The thumb is on the lateral aspect of the hand.

Correct answer: D

Rationale: Option D is the correct answer based on anatomical terms. The thumb is indeed located on the lateral aspect of the hand, following anatomical positioning. The terms 'proximal,' 'superior,' and 'inferior' are used in relation to the center of the body or a specific point of reference, while 'lateral' and 'medial' describe positions further away or closer to the midline of the body. Therefore, the thumb being on the lateral side of the hand is an accurate anatomical description. Choices A, B, and C are incorrect because they do not align with anatomical terminology. In anatomical terms, 'proximal' refers to a position closer to the center of the body, 'superior' indicates a position above or higher than another part, and 'inferior' signifies a position below or lower than another part. The shoulder joint is distal to the neck, the elbow is inferior to the shoulder, and the cervical vertebrae are superior to the thoracic vertebrae.

5. Which of the following is a property of amphiprotic substances?

• A. React with acids only
• B. React with bases only
• C. Can act as both acids and bases
• D. Are inert in chemical reactions

Correct answer: C

Rationale: The correct answer is C: Can act as both acids and bases. Amphiprotic substances have the ability to donate a proton (act as an acid) or accept a proton (act as a base) depending on the reaction conditions. This dual nature allows them to participate in a wide range of chemical reactions, making them versatile and important in various chemical processes. Choices A and B are incorrect because amphiprotic substances are not limited to reacting with only acids or bases; they can interact with both. Choice D is incorrect because amphiprotic substances are not inert; they actively participate in chemical reactions by donating or accepting protons.

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