Nursing Elites

1. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

2. Which of the following is not a biological macromolecule?

• A. Glycoproteins
• B. DNA
• C. Phospholipid
• D. Glucose

Correct answer: D

Rationale: Glucose is a monosaccharide, which is a simple sugar and not a macromolecule. Glycoproteins, DNA, and phospholipids are all examples of biological macromolecules. Glycoproteins are proteins covalently bonded to carbohydrates, DNA is a nucleic acid, and phospholipids are lipids that contain a phosphate group.

3. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

4. During micturition, the process involves a combination of:

• A. Gravity alone
• B. Voluntary muscle contractions only
• C. Involuntary muscle contractions only
• D. Both voluntary and involuntary muscle contractions

Correct answer: D

Rationale: During micturition, which is the process of urination, both voluntary and involuntary muscle contractions are involved. Voluntary muscle contractions include the relaxation of the external urethral sphincter, allowing the release of urine, while involuntary muscle contractions involve the detrusor muscle in the bladder contracting to expel urine. Choices A, B, and C are incorrect because micturition is not solely dependent on gravity, voluntary muscle contractions, or involuntary muscle contractions alone. The correct answer is D as both types of muscle contractions are necessary for the complete process of urination.

5. Which of the following vessels is responsible for pumping oxygenated blood to the body?

• A. Right ventricle
• B. Left ventricle
• C. Pulmonary artery
• D. Aorta

Correct answer: D

Rationale: The aorta is the correct answer because it is responsible for pumping oxygenated blood from the heart to the rest of the body. The aorta is the main artery that carries blood away from the heart and distributes it to all parts of the body, providing oxygen and nutrients to the tissues. Choices A, B, and C are incorrect. The right ventricle pumps deoxygenated blood to the lungs through the pulmonary artery, the left ventricle pumps oxygenated blood to the body through the aorta, and the pulmonary artery carries deoxygenated blood from the heart to the lungs for oxygenation.

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