Nursing Elites

1. Which muscle has involuntary cells that are branched and striated and connected by intercalated discs with gap junctions?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Epithelial muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle cells fit the description provided in the question; they are involuntary, striated, and branched, with intercalated discs containing gap junctions that allow for synchronized contractions of the heart. Smooth muscle (choice A) lacks striations and is found in the walls of internal organs. Skeletal muscle (choice C) is voluntary and attaches to bones for movement. 'Epithelial muscle' (choice D) is not a valid muscle type, making it an incorrect choice.

2. Which orbital can hold a maximum of 8 electrons?

• A. s orbital
• B. p orbital
• C. d orbital
• D. f orbital

Correct answer: B

Rationale: The correct answer is the p orbital. Each p orbital can hold a maximum of 6 electrons (2 electrons in each of the 3 p orbitals), totaling 18 possible electrons when considering all three p orbitals. The s orbital can hold a maximum of 2 electrons, the d orbital can hold a maximum of 10 electrons, and the f orbital can hold a maximum of 14 electrons. Therefore, the p orbital is the orbital that can hold a maximum of 8 electrons, making it the correct choice.

3. Where is keratin found?

• A. It is a protein-digesting enzyme released by the stomach.
• B. It is released in the neuromuscular junction.
• C. It is a protein found in the hypodermis.
• D. It is a protein found in hair.

Correct answer: D

Rationale: Keratin is a structural protein found in hair, skin, and nails, providing strength and protection. It forms the main structural component of hair, making choice D the correct answer. Choices A, B, and C are incorrect because keratin is not an enzyme released by the stomach, not released in the neuromuscular junction, and not found in the hypodermis. Remember that keratin is primarily associated with structural support in epithelial cells.

4. What type of macromolecule is hemoglobin?

• A. Carbohydrate
• B. Lipid
• C. Protein
• D. Nucleic acid

Correct answer: C

Rationale: The correct answer is C: Protein. Hemoglobin is a protein responsible for carrying oxygen in the blood. Proteins are macromolecules made up of amino acids and play a vital role in various biological functions, including the transportation of molecules like oxygen. Choices A, B, and D are incorrect because carbohydrates, lipids, and nucleic acids are different types of macromolecules that have distinct structures and functions. Carbohydrates are mainly involved in energy storage and structural support, lipids are essential for energy storage and cell membrane structure, and nucleic acids are responsible for storing and transmitting genetic information.

5. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

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