Nursing Elites

1. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

2. What is the primary function of the myelin sheath that surrounds some axons in the nervous system?

• A. To initiate nerve impulses
• B. To transmit sensory information
• C. To speed up the transmission of nerve impulses
• D. To connect neurons at synapses

Correct answer: C

Rationale: The primary function of the myelin sheath is to speed up the transmission of nerve impulses. The myelin sheath acts as an insulating layer around the axon, allowing for faster conduction of electrical impulses along the nerve fiber. This insulation prevents the electrical signal from dissipating or 'leaking' out, which helps in the rapid and efficient transmission of nerve impulses along the axon. Choice A is incorrect because the myelin sheath does not initiate nerve impulses; it helps in conducting them. Choice B is incorrect as the myelin sheath's main role is not in transmitting sensory information but rather in facilitating the transmission of nerve impulses. Choice D is incorrect because the myelin sheath's function is not to connect neurons at synapses; instead, it is primarily involved in enhancing the speed of nerve impulse transmission.

3. What type of cells compose the epidermis?

• A. Osteoclasts
• B. Connective
• C. Dendritic
• D. Epithelial

Correct answer: D

Rationale: The correct answer is D: Epithelial. The epidermis is composed of epithelial cells, specifically called keratinocytes, which are responsible for producing keratin, a protein that provides the skin with strength and flexibility. Epithelial cells form the protective outer layer of the skin and play a crucial role in skin repair and regeneration. Choice A - Osteoclasts are cells involved in bone remodeling, not found in the epidermis. Choice B - Connective tissue cells are not the primary cells found in the epidermis. They are more commonly found in the dermis, providing structural support and elasticity to the skin. Choice C - Dendritic cells are part of the immune system and are present in the skin to help recognize pathogens and activate the immune response. However, they are not the main cell type that composes the epidermis.

4. What are the two primary functions of the respiratory system?

• A. Delivering nutrients and removing CO2
• B. Delivering O2 and removing CO2, maintaining blood pH
• C. Maintaining blood pH and delivering nutrients
• D. Delivering O2 and nutrients to the cells

Correct answer: B

Rationale: The correct answer is B. The respiratory system's primary functions include delivering oxygen (O2) to the body's cells for cellular respiration and removing carbon dioxide (CO2), thereby aiding in the maintenance of blood pH. These functions are crucial for gas exchange and the overall metabolic processes within the body. Choice A is incorrect as the respiratory system primarily delivers O2, not nutrients, and removes CO2, not delivering it. Choice C is incorrect as while the respiratory system helps maintain blood pH by removing CO2, it does not primarily deliver nutrients. Choice D is incorrect as it combines the functions of delivering O2 and nutrients, which are distinct roles of different systems in the body.

5. What is the small repeating unit in the contractile apparatus of skeletal muscle?

• A. Myofibril
• B. Actin
• C. Sarcomere
• D. Myosin

Correct answer: C

Rationale: The correct answer is 'Sarcomere.' The sarcomere is the smallest repeating unit within myofibrils and is responsible for muscle contraction in skeletal muscle. It consists of overlapping actin and myosin filaments arranged in a highly organized structure that allows for the sliding of filaments during muscle contraction. 'Myofibril' (choice A) is incorrect because it is a larger structure composed of sarcomeres. 'Actin' (choice B) and 'Myosin' (choice D) are incorrect as they are individual proteins that are components of the sarcomere, not the smallest repeating unit itself.

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