Nursing Elites

1. 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.

2. Which chamber of the heart is the largest?

• A. Right atrium
• B. Left atrium
• C. Right ventricle
• D. Left ventricle

Correct answer: D

Rationale: The correct answer is D, the left ventricle. The left ventricle is the largest and strongest chamber of the heart. It is responsible for pumping oxygenated blood to the entire body through the aorta, playing a crucial role in the circulatory system. Choices A, B, and C are incorrect. The right atrium receives deoxygenated blood from the body, the left atrium receives oxygenated blood from the lungs, and the right ventricle pumps deoxygenated blood to the lungs for oxygenation. However, the left ventricle is the largest chamber and performs the vital function of pumping oxygen-rich blood to the body.

3. What makes bone resistant to shattering?

• A. The calcium salts deposited in the bone
• B. The collagen fibers
• C. The bone marrow and network of blood vessels
• D. The intricate balance of minerals and collagen fibers

Correct answer: D

Rationale: Bone is resistant to shattering due to the intricate balance of minerals and collagen fibers. The minerals provide strength to the bone, while the collagen fibers offer flexibility. This combination ensures that bone is a robust and resilient tissue. Choice A (The calcium salts deposited in the bone) is incorrect as calcium salts alone do not provide the necessary flexibility for bone to withstand shattering. Choice B (The collagen fibers) is partially correct as collagen fibers contribute to the flexibility of bone but alone are not sufficient for resistance to shattering. Choice C (The bone marrow and network of blood vessels) is incorrect as they do not directly contribute to the physical resistance of bone to shattering.

4. What checkpoint mechanism ensures all chromosomes are attached to the spindle fibers before anaphase begins?

• A. Prometaphase
• B. Metaphase
• C. Cyclin degradation
• D. Sister chromatid cohesion

Correct answer: A

Rationale: A) Prometaphase is the correct answer because it is the stage of mitosis where all chromosomes are attached to the spindle fibers before anaphase begins. During prometaphase, the nuclear envelope breaks down, allowing the spindle fibers to attach to the kinetochores of the chromosomes. This attachment is necessary for proper chromosome alignment and segregation during anaphase. B) Metaphase is incorrect because it is the stage where chromosomes are aligned at the metaphase plate but do not necessarily have all spindle fibers attached. C) Cyclin degradation is incorrect because it is a regulatory mechanism that controls the progression of the cell cycle but is not specifically related to ensuring all chromosomes are attached to spindle fibers. D) Sister chromatid cohesion is incorrect because it refers to the physical connection between sister chromatids that is maintained until anaphase, but it does not ensure that all chromosomes are attached to spindle fibers.

5. Which type of muscle is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Involuntary muscle

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing for conscious movement of the body. Smooth muscle and cardiac muscle are both types of involuntary muscles that are not under conscious control. Smooth muscle is found in the walls of internal organs and blood vessels, functioning involuntarily. Cardiac muscle makes up the heart and contracts involuntarily to pump blood. Involuntary muscle (choice D) is a general term that encompasses smooth muscle and cardiac muscle, which operate involuntarily throughout the body.

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