Nursing Elites

1. Which of the following statements regarding the working of the heart is not correct?

• A. The atria contract, and the valves open to allow blood into the ventricles.
• B. The heartbeat begins when the heart muscles relax, and blood flows into the atria.
• C. The valves close to stop blood from flowing backward.
• D. The ventricles contract, forcing blood to leave the heart.

Correct answer: B

Rationale: The correct answer is B because the heartbeat actually begins when the heart muscles relax, allowing the chambers to fill with blood. The contraction phase follows, which propels blood out of the heart. The other statements are accurate in describing the normal sequence of events in the heart's functioning: the atria contract to push blood into the ventricles, the valves close to prevent backflow of blood, and the ventricles contract to pump blood out of the heart.

2. Which of the following macromolecules will always contain nitrogen?

• A. Fatty acids
• B. Proteins
• C. Lipids
• D. Carbohydrates

Correct answer: B

Rationale: The correct answer is B: Proteins. Proteins are the only macromolecules that always contain nitrogen in their amino acid structure. Nitrogen is a key element found in the amino groups of amino acids, which are the building blocks of proteins. Fatty acids (Choice A), lipids (Choice C), and carbohydrates (Choice D) do not always contain nitrogen in their structure. Fatty acids are composed of long hydrocarbon chains and do not contain nitrogen. Lipids consist mainly of carbon, hydrogen, and oxygen, with some classes of lipids containing phosphorus but not nitrogen. Carbohydrates are made up of carbon, hydrogen, and oxygen, forming structures like sugars and starches, but they do not contain nitrogen.

3. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

4. Which enzyme plays a crucial role in DNA replication during the S phase of interphase?

• A. Helicase
• B. DNA polymerase
• C. Ligase
• D. Topoisomerase

Correct answer: B

Rationale: During the S phase of interphase, DNA replication takes place. DNA polymerase is the enzyme responsible for synthesizing new DNA strands by adding nucleotides in a complementary manner to the template strand. It plays a pivotal role in accurately replicating the entire genome. While helicase unwinds the double-stranded DNA for replication, topoisomerase relieves the tension in the DNA strands, and ligase joins the Okazaki fragments on the lagging strand. However, DNA polymerase directly participates in the synthesis of new DNA strands during replication, making it the correct answer.

5. What is the process by which RNA molecules are modified after transcription but before translation?

• A. Replication
• B. Splicing
• C. Editing
• D. Packaging

Correct answer: B

Rationale: B) Splicing is the correct answer. Splicing is the process by which non-coding regions (introns) are removed from pre-mRNA, and the remaining coding regions (exons) are joined together to form mature mRNA. This modification occurs after transcription but before translation. A) Replication is incorrect as replication is the process by which DNA is copied to produce a new DNA molecule, not RNA modifications. C) Editing may involve RNA editing, but it is not commonly used to describe the modification of RNA molecules after transcription. D) Packaging is not the correct term as it refers to the condensation and organization of DNA into chromatin in eukaryotic cells, not the modification of RNA molecules.

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