Nursing Elites

1. What is the ultimate end product of glucose breakdown in glycolysis?

• A. ATP
• B. NADPH
• C. Pyruvic acid
• D. Oxygen

Correct answer: C

Rationale: The ultimate end product of glucose breakdown in glycolysis is pyruvic acid. During glycolysis, glucose is broken down into pyruvic acid through a series of enzymatic reactions. ATP is produced as an energy carrier during glycolysis, but it is not the final end product. NADPH is not a direct product of glycolysis; it is mainly produced in the pentose phosphate pathway. Oxygen is not a product of glycolysis but is used as an electron acceptor in the electron transport chain of cellular respiration.

2. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

3. 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.

4. Which of the following is a MAJOR consequence of a stroke?

• A. Irregular heart rhythm.
• B. Rapid weight gain or loss.
• C. Brain damage due to interrupted blood flow.
• D. Chronic fatigue and muscle weakness.

Correct answer: C

Rationale: A major consequence of a stroke is brain damage due to interrupted blood flow. Strokes occur when blood flow to the brain is blocked or reduced, leading to the death of brain cells. This interruption in blood flow results in brain damage, which can cause physical and cognitive impairments such as paralysis, speech difficulties, memory problems, and sensory disturbances. The severity and location of the stroke determine the extent of the consequences experienced by the individual. Choices A, B, and D are incorrect. Irregular heart rhythm is not a direct consequence of a stroke but may occur as a complication. Rapid weight gain or loss and chronic fatigue with muscle weakness are not typically considered major consequences of a stroke, which primarily affects the brain due to interrupted blood flow.

5. In the reaction 2Na + 2H2O → 2NaOH + H2, what is the limiting reactant when 3 moles of sodium react with 2 moles of water?

• A. Na
• B. H2O
• C. NaOH
• D. H2

Correct answer: A

Rationale: The balanced chemical equation indicates that 2 moles of sodium react with 2 moles of water to yield 2 moles of sodium hydroxide and 1 mole of hydrogen gas. When 3 moles of sodium react with only 2 moles of water, sodium becomes the limiting reactant as it is present in excess compared to the available water molecules. This situation arises because not all sodium atoms can fully react with the limited amount of water, resulting in sodium being the limiting reactant in this specific case. Choice B (H2O), choice C (NaOH), and choice D (H2) are incorrect as they are not the limiting reactant in the given reaction scenario.

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