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. Bile, a yellowish-green fluid, is stored in the gallbladder and released into the small intestine during digestion. What is the primary function of bile in digestion?

• A. Break down carbohydrates
• B. Break down proteins
• C. Emulsify fats
• D. Neutralize stomach acid

Correct answer: C

Rationale: The primary function of bile in digestion is to emulsify fats. Bile contains bile salts that help break down large fat globules into smaller droplets, increasing the surface area for enzymes to work on and aiding in the absorption of fats in the small intestine. Choices A, B, and D are incorrect because bile's main role is not to break down carbohydrates or proteins, nor to neutralize stomach acid; rather, it primarily assists in the digestion and absorption of fats through emulsification.

3. Which of the following statements is true about an allergic reaction?

• A. An allergic reaction, such as hives or wheezing, results from overactive body systems such as the integumentary and respiratory systems.
• B. An allergic reaction is a result of overactive B-cells in the body that release various immunoglobulins.
• C. An allergic reaction is caused by overactive mast cells in the body, which are stimulated by Immunoglobulin E.
• D. An allergic reaction involves substances like histamine, keratin, and collagen.

Correct answer: C

Rationale: The correct answer is C. Mast cells are responsible for releasing histamine and other chemicals during an allergic response. Choice A is incorrect because hives and wheezing are symptoms of an allergic reaction, not the causes. Choice B is incorrect as B-cells are not directly involved in allergic reactions. Choice D is incorrect as keratin and collagen are not typically involved in allergic reactions, and histamine is released by mast cells.

4. What type of energy does an object in motion possess?

• A. Potential energy
• B. Kinetic energy
• C. Thermal energy
• D. Chemical energy

Correct answer: B

Rationale: The correct answer is B. Kinetic energy is the energy possessed by an object in motion. When an object is in motion, it has the ability to do work due to its motion, which is known as kinetic energy. Potential energy, choice A, refers to stored energy that has the potential to do work but is not related to motion. Thermal energy, choice C, is related to the temperature of an object, not its motion. Chemical energy, choice D, is energy stored in the bonds of chemical compounds and is not directly related to an object's motion.

5. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

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