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 main function of the lungs?

• A. To transport oxygen and nutrients throughout the body
• B. To coordinate movement and sensory information
• C. To filter waste products from the blood
• D. To exchange oxygen and carbon dioxide between the body and the environment

Correct answer: D

Rationale: The main function of the lungs is to exchange oxygen and carbon dioxide between the body and the environment. This process occurs through the alveoli in the lungs where oxygen from inhaled air enters the bloodstream, and carbon dioxide is removed from the bloodstream and exhaled. Option A is incorrect as the transportation of oxygen and nutrients throughout the body is primarily carried out by the circulatory system, not the lungs. Option B is incorrect as coordinating movement and sensory information is a function of the nervous system, not the lungs. Option C is incorrect as filtering waste products from the blood is primarily the role of the kidneys, not the lungs. Therefore, the correct answer is D.

3. Which gland produces the hormone responsible for the 'fight-or-flight' response in stressful situations?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The hormone responsible for the 'fight-or-flight' response in stressful situations is produced by the adrenal gland. This hormone is called adrenaline (epinephrine) and is released in response to stress, preparing the body to either fight the stressor or flee from it. The other choices are incorrect because the thyroid gland primarily produces hormones that regulate metabolism, the pituitary gland produces various hormones that control other endocrine glands, and the pancreas produces insulin and glucagon to regulate blood sugar levels.

4. What protein complex controls the progression of mitosis through its activation and degradation?

• A. Ribosome
• B. Cyclin-dependent kinase (CDK)
• C. Centriole
• D. Microtubule

Correct answer: B

Rationale: A) Ribosome: Ribosomes are cellular organelles responsible for protein synthesis and are not directly involved in controlling the progression of mitosis. B) Cyclin-dependent kinase (CDK): CDKs are a family of protein kinases that regulate the cell cycle, including the progression of mitosis. CDK activity is controlled by cyclins, which bind to CDKs to activate them at specific points in the cell cycle. The activation and degradation of cyclins regulate the activity of CDKs, which in turn control the progression of mitosis. C) Centriole: Centrioles are involved in organizing the microtubules of the mitotic spindle but do not directly control the progression of mitosis. D) Microtubule: Microtubules are structural components of the cytoskeleton and are involved in various cellular processes, including mitosis, but they do not control

5. Which of the following accurately describes saltatory conduction?

• A. It is faster than normal nerve conduction
• B. It occurs from one node of Ranvier to the next
• C. It only occurs in myelinated neurons
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Saltatory conduction is faster than normal nerve conduction, occurs from one node of Ranvier to the next, and is exclusive to myelinated neurons. This form of conduction allows for the rapid transmission of nerve impulses by the action potential jumping between the nodes of Ranvier in myelinated neurons, enhancing the efficiency of signal propagation along the axon. Choice A is correct as saltatory conduction is indeed faster than normal conduction. Choice B is accurate as it describes the mechanism of conduction 'jumping' from one node of Ranvier to the next. Choice C is correct because saltatory conduction occurs specifically in myelinated neurons where the myelin sheath insulates the axon except at the nodes of Ranvier, facilitating faster transmission of nerve impulses.

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