Nursing Elites

1. Which of the following terms refers to the abnormal sound heard during a stethoscope examination, potentially indicating a heart valve issue?

• A. Tachycardia
• B. Bradycardia
• C. Heart murmur
• D. Arrhythmia

Correct answer: C

Rationale: A heart murmur is an abnormal sound heard during a stethoscope examination of the heart. It can indicate issues with the heart valves, such as stenosis or regurgitation. Tachycardia refers to a fast heart rate, bradycardia refers to a slow heart rate, and arrhythmia refers to an irregular heart rhythm. Therefore, the correct answer is 'Heart murmur,' as it specifically relates to the abnormal sound heard during a stethoscope examination that may signal a heart valve issue.

2. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

3. Which of the following is NOT a major division of the nervous system?

• A. Peripheral nervous system
• B. Central nervous system
• C. Somatic nervous system
• D. Autonomic nervous system

Correct answer: C

Rationale: The correct answer is C: Somatic nervous system. The major divisions of the nervous system are the central nervous system, which includes the brain and spinal cord, and the peripheral nervous system, which includes all the nerves outside of the central nervous system. The somatic nervous system, which controls voluntary movements and reflexes, is a part of the peripheral nervous system. The autonomic nervous system is another subdivision of the peripheral nervous system that regulates involuntary functions like heart rate and digestion. Therefore, the somatic nervous system is not a major division of the nervous system, making it the correct answer.

4. What causes stretch marks?

• A. The epidermis layer becomes inflamed
• B. The dermis layer becomes inflamed
• C. The dermis layer tears due to rapid stretching
• D. Sebaceous glands become clogged

Correct answer: C

Rationale: Stretch marks occur when the dermis layer tears due to rapid stretching of the skin. This tearing leads to the appearance of stretch marks, which are often red or purple at first and then fade to a silvery-white color over time. Inflammation of the dermis or clogging of sebaceous glands are not directly related to the formation of stretch marks. Therefore, choices A, B, and D are incorrect as they do not describe the actual cause of stretch marks.

5. What role does DNA play in evolution?

• A. It stores genetic information that can be passed on to offspring.
• B. It allows for mutations that can introduce new variations.
• C. It regulates the expression of genes that influence traits.
• D. All of the above

Correct answer: D

Rationale: A) DNA stores genetic information that is passed on from parents to offspring through the process of reproduction. This genetic information contains instructions for the development and functioning of an organism. It serves as the hereditary material that carries the blueprint for an organism's traits and characteristics, allowing for the transmission of genetic information from one generation to the next. B) DNA can undergo mutations, which are changes in the genetic sequence. These mutations can introduce new variations in the DNA, leading to genetic diversity within a population. These variations are essential for natural selection and adaptation to changing environments. C) DNA plays a crucial role in regulating the expression of genes. Gene expression determines which proteins are produced in an organism, influencing its traits and characteristics. By controlling gene expression, DNA contributes to the development and maintenance of an organism's traits. D) Therefore, DNA is involved in all of the above processes, making it a key factor in evolution by driving genetic variation, inheritance, and gene expression. The interplay of these functions allows for the diversity and adaptation of species over time, shaping the evolutionary process.

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