Nursing Elites

1. What is the breakdown product of ATP (adenosine triphosphate) that provides energy for muscle contraction?

• A. Glucose
• B. Creatine phosphate
• C. ADP (adenosine diphosphate)
• D. Lactic acid

Correct answer: C

Rationale: ADP (adenosine diphosphate) is the correct breakdown product of ATP that provides energy for muscle contraction. When ATP is hydrolyzed to ADP, energy is released and utilized by the muscles for various cellular processes, including muscle contraction. Glucose serves as an energy source but is not the direct breakdown product of ATP for muscle contraction. Creatine phosphate plays a role in energy storage and transfer, but it is not the immediate breakdown product of ATP. Lactic acid is produced during anaerobic metabolism and is not the direct provider of energy for muscle contraction.

2. Blood type is a trait determined by multiple alleles, with IA and IB being co-dominant: IA codes for A blood and IB codes for B blood, while i codes for O blood and is recessive to both. If an A heterozygote individual and an O individual have a child, what is the probability that the child will have A blood?

• A. 25%
• B. 50%
• C. 75%
• D. 100%

Correct answer: B

Rationale: If an A heterozygote (IAi) and an O individual (ii) have a child, there is a 50% chance the child will inherit the IA allele and have A blood. The A heterozygote can pass on either the IA or i allele, while the O individual can only pass on the i allele. Therefore, the possible genotypes for the child are IAi (A blood) or ii (O blood), resulting in a 50% chance of the child having A blood. Choice A (25%) is incorrect as it does not take into account the possibility of inheriting the IA allele. Choice C (75%) and Choice D (100%) are incorrect as they overestimate the probability of the child having A blood.

3. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

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 these is NOT a function of the large intestine?

• A. Absorbing water and electrolytes
• B. Producing vitamins
• C. Breaking down fiber
• D. Eliminating waste products

Correct answer: B

Rationale: A) Absorbing water and electrolytes: The large intestine plays a crucial role in absorbing water and electrolytes from the indigestible food matter that passes through it. This helps in maintaining the body's fluid balance and preventing dehydration. B) Producing vitamins: While the large intestine contains bacteria that can produce some vitamins like vitamin K and certain B vitamins, the primary site for vitamin production is the small intestine and other organs like the liver. Therefore, producing vitamins is not a primary function of the large intestine. C) Breaking down fiber: The large intestine is responsible for breaking down fiber that was not digested in the small intestine. The bacteria in the large intestine ferment fiber, producing short-chain fatty acids that can be used as an energy source by the body. D) Eliminating waste products: One of the main functions of the large intestine is to eliminate waste products, including indigestible food matter, dead cells, and bacteria, from the body in the form of feces. Therefore, the correct answer is B, as producing vitamins is not a primary function of the large intestine.

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