Nursing Elites

1. 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.

2. Which of the following statements describes a chemical property of water?

• A. Water has a pH of 1.
• B. A water molecule contains 2 hydrogen atoms and 1 oxygen atom.
• C. A water molecule contains 2 oxygen atoms and 1 hydrogen atom.
• D. The chemical formula for water is HO.

Correct answer: B

Rationale: The correct answer is B because a water molecule consists of two hydrogen atoms and one oxygen atom, which is a fundamental chemical property of water. The pH of water is not a property of the water molecule itself but rather a measure of its acidity or alkalinity. Choice C is incorrect as it describes a different molecule, not water. Choice D provides an incorrect chemical formula for water, which is H2O.

3. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

4. 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.

5. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

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