Nursing Elites

1. What are fingernails and toenails primarily made of?

• A. Collagen (Collagen is found in the dermis)
• B. Keratin
• C. Melanin (Melanin provides pigment, not structure)
• D. Sebum (Sebum is an oily substance)

Correct answer: B

Rationale: Fingernails and toenails are primarily made of a protein called keratin. Keratin is a tough, fibrous protein that provides structure and strength to nails, hair, and the outer layer of skin. Collagen, as mentioned, is found in the dermis and is not the primary component of nails. Melanin provides pigment to the skin and hair, not the structure of nails. Sebum is an oily substance produced by the skin's sebaceous glands and is not a structural component of nails.

2. Where does glycolysis occur within the cell?

• A. Cytosol
• B. Nucleus
• C. Mitochondria
• D. Endoplasmic reticulum

Correct answer: A

Rationale: Glycolysis occurs in the cytosol, the liquid component of the cytoplasm, not in the nucleus, mitochondria, or endoplasmic reticulum. It is the initial step in cellular respiration and involves the breakdown of glucose into pyruvic acid. The process takes place in the cytosol as it does not require membrane-bound organelles like the mitochondria or endoplasmic reticulum for its completion.

3. Which of the following water-soluble vitamins is NOT synthesized in the large intestine?

• A. B6
• B. Biotin
• C. Pantothenic acid (Vitamin B5)
• D. Vitamin K

Correct answer: A

Rationale: The correct answer is A: B6. Vitamin B6 is not synthesized in the large intestine, while biotin, pantothenic acid (Vitamin B5), and Vitamin K can be synthesized by gut microflora. Biotin, B5, and K are examples of water-soluble vitamins that can be produced in the large intestine, but B6 needs to be obtained through dietary sources. Therefore, B6 is the correct answer as it is not synthesized within the large intestine, unlike the other options.

4. What is the term for the pressure exerted by blood against the walls of blood vessels?

• A. Heart rate
• B. Blood pressure
• C. Cardiac output
• D. Stroke volume

Correct answer: B

Rationale: Blood pressure is the term for the pressure exerted by blood against the walls of blood vessels. It is measured in millimeters of mercury (mmHg) and consists of two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). Heart rate (A) is the number of times the heart beats per minute, cardiac output (C) is the volume of blood pumped by the heart per minute, and stroke volume (D) is the volume of blood pumped by the heart in one contraction. Understanding blood pressure is crucial in assessing cardiovascular health and the risk of various conditions like hypertension.

5. An element with atomic number 26 and mass number 56 is most likely to be:

• A. Iron (Fe)
• B. Cobalt (Co)
• C. Nickel (Ni)
• D. Manganese (Mn)

Correct answer: A

Rationale: The element with atomic number 26 and mass number 56 corresponds to Iron (Fe). Iron has 26 protons, which aligns with the given atomic number, and Fe-56 has 26 neutrons, which aligns with the given mass number. This confirms that Iron (Fe) is the correct answer. Cobalt (Co), Nickel (Ni), and Manganese (Mn) have different atomic numbers and mass numbers, so they are not the correct choices in this scenario.

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