Nursing Elites

1. Which of the following structures acts like a funnel by delivering urine from the millions of collecting tubules to the ureters?

• A. The renal pelvis
• B. The renal cortex
• C. The renal medulla
• D. Bowman's capsule

Correct answer: A

Rationale: The correct answer is A: The renal pelvis. The renal pelvis serves as a reservoir for urine collected from the kidney's numerous collecting tubules, funneling it into the ureters for transport to the bladder. The renal cortex is the outer region of the kidney involved in filtration, while the renal medulla is the inner region responsible for concentrating urine. Bowman's capsule is part of the nephron and is involved in the initial filtration of blood in the kidney, not in funneling urine to the ureters.

2. What is the 'lock-and-key' model?

• A. Protein folding
• B. Enzyme-substrate interaction
• C. Muscle contraction
• D. Blood clotting

Correct answer: B

Rationale: The 'lock-and-key' model describes the specificity of the interaction between enzymes and their substrates. In this model, the enzyme's active site acts like a lock that can only be opened by the specific substrate molecule, which serves as the key. This specific binding ensures that enzymes catalyze particular reactions and do not interact with other molecules indiscriminately. Protein folding (option A) is the process by which a protein attains its functional three-dimensional structure but is not directly related to the lock-and-key model. Muscle contraction (option C) and blood clotting (option D) are complex biological processes but are not directly associated with the lock-and-key model of enzyme-substrate interaction.

3. What is the term for the pressure exerted by blood against the walls of blood vessels?

• A. Heart rate
• B. Blood pressure
• C. Cardiac output
• D. Stroke volume

Correct answer: B

Rationale: Blood pressure is the term for the pressure exerted by blood against the walls of blood vessels. It is measured in millimeters of mercury (mmHg) and consists of two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). Heart rate (A) is the number of times the heart beats per minute, cardiac output (C) is the volume of blood pumped by the heart per minute, and stroke volume (D) is the volume of blood pumped by the heart in one contraction. Understanding blood pressure is crucial in assessing cardiovascular health and the risk of various conditions like hypertension.

4. Which division of the peripheral nervous system is responsible for transmitting signals from the central nervous system to skeletal muscles, enabling voluntary muscle movements?

• A. Somatic nervous system
• B. Autonomic nervous system
• C. Sympathetic nervous system
• D. Parasympathetic nervous system

Correct answer: A

Rationale: The correct answer is the somatic nervous system. The somatic nervous system is responsible for transmitting signals from the central nervous system to skeletal muscles, allowing for voluntary muscle movements. The autonomic nervous system, sympathetic nervous system, and parasympathetic nervous system are not involved in voluntary muscle movements. Instead, they regulate involuntary functions of the body such as heart rate, digestion, and breathing. Therefore, choices B, C, and D are incorrect as they are not associated with voluntary muscle movements.

5. Which of the following correctly lists the normal blood flow through the heart?

• A. Left ventricle, left atrium, body, right ventricle, right atrium, lungs
• B. Left atrium, left ventricle, lungs, right atrium, right ventricle, body
• C. Right atrium, right ventricle, lungs, left atrium, left ventricle, body
• D. Right ventricle, right atrium, body, left atrium, left ventricle, lungs

Correct answer: B

Rationale: The correct order of normal blood flow through the heart is as follows: from the body, blood flows into the right atrium, then to the right ventricle, followed by the lungs through the pulmonary artery for oxygenation. Oxygenated blood then returns to the heart through the pulmonary veins into the left atrium, then moves into the left ventricle before being pumped out to the body. Choice B correctly depicts this sequential flow of blood through the heart. Choices A, C, and D are incorrect as they do not follow the typical path of blood flow through the heart.

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