Nursing Elites

1. Which organ's primary role is the production of bile and other metabolic functions such as blood sugar regulation and detoxification?

• A. Gallbladder
• B. Pancreas
• C. Liver
• D. Stomach

Correct answer: C

Rationale: The correct answer is the liver. The liver is responsible for producing bile, regulating blood sugar levels, and detoxifying the blood. Bile produced by the liver is stored in the gallbladder. The pancreas primarily functions in digestion by producing enzymes and insulin, while the stomach is mainly involved in breaking down food through the secretion of gastric juices.

2. 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.

3. What is the role of transfer RNA (tRNA) in protein synthesis?

• A. Transcribes DNA into mRNA
• B. Decodes the genetic code on mRNA
• C. Carries specific amino acids to the ribosomes
• D. Modifies the structure of proteins

Correct answer: C

Rationale: A) Transcribes DNA into mRNA: This is the function of RNA polymerase, not transfer RNA (tRNA). tRNA is involved in protein synthesis, not transcription. B) Decodes the genetic code on mRNA: This is the function of tRNA during translation. tRNA molecules carry specific amino acids and recognize the codons on mRNA, ensuring the correct amino acid is added to the growing polypeptide chain. C) Carries specific amino acids to the ribosomes: This is the primary role of tRNA in protein synthesis. Each tRNA molecule is specific for a particular amino acid and carries it to the ribosome, where it is added to the growing protein chain. D) Modifies the structure of proteins: This is not a function of tRNA. Protein modification can occur after translation is complete and involves other cellular processes and molecules.

4. What term describes a series of muscle contractions that transports food down the digestive tract in a wave-like fashion?

• A. digestion
• B. deglutition
• C. defecation
• D. peristalsis

Correct answer: D

Rationale: Peristalsis is the correct term for the series of muscle contractions that move food down the digestive tract in a wave-like manner. This process helps propel food through the esophagus, stomach, and intestines, facilitating digestion and nutrient absorption. Digestion (Choice A) refers to the breakdown of food into smaller components, deglutition (Choice B) is the act of swallowing, and defecation (Choice C) is the elimination of waste from the body. Therefore, peristalsis is the most appropriate term to describe the described muscle contractions in the digestive system.

5. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

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