Nursing Elites

1. Which part of the heart is responsible for generating the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The QRS complex on an ECG represents ventricular depolarization. This electrical activity is generated by the ventricular muscle cells. While the SA node generates the P wave, the AV node delays the impulse, and the Bundle of His and Purkinje fibers assist in rapidly conducting the impulse through the ventricles, it is the ventricular muscle cells that specifically create the QRS complex. Therefore, choice D, Ventricular muscle cells, is the correct answer. Choices A, B, and C are incorrect as they are primarily involved in initiating and coordinating the electrical impulses in the heart but do not directly generate the QRS complex on an ECG.

2. What is the term for a genetic disorder caused by a mutation in a mitochondrial gene?

• A. Autosomal dominant disorder
• B. Autosomal recessive disorder
• C. Sex-linked disorder
• D. Mitochondrial disorder

Correct answer: D

Rationale: A) Autosomal dominant disorder: This type of genetic disorder is caused by a mutation in one copy of an autosomal gene. It is not related to mitochondrial gene mutations. B) Autosomal recessive disorder: This type of genetic disorder is caused by mutations in both copies of an autosomal gene. It is not related to mitochondrial gene mutations. C) Sex-linked disorder: This type of genetic disorder is caused by mutations in genes located on the sex chromosomes (X or Y). It is not related to mitochondrial gene mutations. D) Mitochondrial disorder: Mitochondrial disorders are genetic disorders caused by mutations in genes located in the mitochondria, the energy-producing structures within cells. These disorders are inherited maternally and can affect various organs and systems in the body due to the role of mitochondria in energy production.

3. How many moles of water are produced when 0.5 moles of methane (CH4) react with excess oxygen?

• A. 0.5 moles
• B. 1 mole
• C. 2 moles
• D. 3 moles

Correct answer: B

Rationale: The balanced chemical equation for the combustion of methane is: CH4 + 2O2 -> CO2 + 2H2O. This equation shows that 1 mole of methane produces 2 moles of water. Therefore, when 0.5 moles of methane react, they will produce 1 mole of water. The ratio of water to methane is 2:1, meaning that for every mole of methane that reacts, it produces 2 moles of water. Since only 0.5 moles of methane are reacting, the amount of water produced will be half of what would be produced if 1 mole of methane reacted, resulting in 1 mole of water being produced. Choice A is incorrect because it does not consider the stoichiometry of the reaction. Choices C and D are incorrect as they do not align with the balanced chemical equation and the stoichiometric ratios involved in the reaction.

4. Which of the following components is found in DNA?

• A. Uracil
• B. Deoxyribose
• C. Guanine
• D. Phosphate group

Correct answer: B

Rationale: The correct answer is B: Deoxyribose. DNA is composed of nucleotides containing deoxyribose sugar, phosphate group, and nitrogenous bases (adenine, thymine, guanine, and cytosine). Deoxyribose is the sugar component specific to DNA, while ribose is found in RNA. Guanine (choice C) is a nitrogenous base present in both DNA and RNA. Uracil (choice A) is a nitrogenous base specific to RNA, replacing thymine found in DNA. The phosphate group (choice D) is an essential part of nucleotides in both DNA and RNA, providing the backbone structure for the nucleic acid chains.

5. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

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