Nursing Elites

1. What is the process by which cells respond to external stimuli, such as chemicals, temperature, or touch, called?

• A. Signal transduction
• B. Homeostasis
• C. Adaptation
• D. Metabolism

Correct answer: A

Rationale: Signal transduction is the correct answer. It is the process by which cells respond to external stimuli like chemicals, temperature, or touch. When a cell receives a signal from its environment, it triggers a series of molecular events leading to a specific cellular response. This process involves transmitting signals from the cell surface to the interior, triggering various cellular activities. Homeostasis, on the other hand, refers to an organism's ability to maintain internal stability in response to external changes. Adaptation involves an organism adjusting to its environment over time through genetic changes or behavioral modifications, which is distinct from the process of cells responding to immediate external stimuli. Metabolism, although essential for cellular functions, is not specifically about cells responding to external stimuli but rather the biochemical processes involved in energy production, storage, and utilization within cells.

2. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction. Dopamine is involved in reward and pleasure pathways, serotonin regulates mood and behavior, and norepinephrine is involved in the 'fight or flight' response.

3. Through what tubes does urine travel from the kidneys to the bladder?

• A. Urethra
• B. Ureters
• C. Renal arteries
• D. Renal veins

Correct answer: B

Rationale: The correct answer is 'Ureters.' The ureters are the tubes that transport urine from the kidneys to the bladder. The urethra, not a choice in this question, is the tube responsible for carrying urine from the bladder out of the body. Renal arteries and veins are blood vessels that respectively supply and drain the kidneys, not involved in the transport of urine to the bladder.

4. What is an isotope? For any given element, it is an atom with which of the following?

• A. a different atomic number
• B. a different number of protons
• C. a different number of electrons
• D. a different mass number

Correct answer: D

Rationale: An isotope of an element is an atom with a different number of neutrons, resulting in a different mass number. Isotopes of the same element have the same number of protons (which determines the element's identity) but differ in the number of neutrons, leading to variations in mass numbers. Choice A is incorrect because isotopes of the same element have the same atomic number. Choice B is incorrect because isotopes of the same element have the same number of protons. Choice C is incorrect because isotopes of the same element have the same number of electrons.

5. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

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