Nursing Elites

1. What are the tiny contractile units within muscle cells called?

• A. Myocytes
• B. Myofibrils
• C. Sarcomeres
• D. Tendons

Correct answer: C

Rationale: Sarcomeres are the smallest contractile units within muscle cells. They consist of overlapping filaments of actin and myosin proteins, which interact to produce muscle contractions. Myocytes are the entire muscle cells, myofibrils are bundles of protein filaments found within muscle cells, and tendons are tough connective tissues that connect muscles to bones. Therefore, sarcomeres specifically represent the contractile units responsible for muscle contraction, making them the correct answer in this context.

2. What do Newton's rings visually demonstrate?

• A. Diffraction
• B. Doppler effect
• C. Polarization
• D. Thin-film interference

Correct answer: D

Rationale: Newton's rings are a series of concentric colored rings observed when light is reflected between a spherical surface and a flat surface. This phenomenon is a result of thin-film interference, where light waves reflecting off the two surfaces interfere with each other constructively or destructively, leading to the observed pattern of rings. Diffraction, polarization, and the Doppler effect are not related to the specific phenomenon of Newton's rings. Diffraction refers to the bending of waves around obstacles, polarization deals with the orientation of electromagnetic waves, and the Doppler effect relates to the change in frequency of waves due to motion. Therefore, the correct answer is thin-film interference, as it precisely describes the phenomenon observed in Newton's rings.

3. 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.

4. What is the name of the structure that packages DNA in eukaryotic cells?

• A. Nucleosome
• B. Chromatin
• C. Histone
• D. Centromere

Correct answer: A

Rationale: - A nucleosome is the basic structural unit of DNA packaging in eukaryotic cells. It consists of DNA wrapped around a core of histone proteins. - Chromatin refers to the complex of DNA and proteins found in the nucleus of a eukaryotic cell, including nucleosomes. - Histones are the proteins around which DNA is wrapped to form nucleosomes. - Centromere is a region of a chromosome where the two sister chromatids are joined and to which spindle fibers attach during cell division.

5. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

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