Nursing Elites

1. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

2. What is the process by which muscle tissue wastes away due to disuse or lack of nutrients?

• A. Hypertrophy
• B. Atrophy
• C. Fibrosis
• D. Rigor mortis

Correct answer: B

Rationale: Atrophy is the correct term for the process by which muscle tissue wastes away due to disuse or lack of nutrients. It is essential to differentiate atrophy from hypertrophy, which is the increase in muscle size due to exercise or strength training. Fibrosis involves the formation of excess fibrous connective tissue, which is distinct from muscle wasting. Rigor mortis, on the other hand, is the stiffening of muscles that occurs after death and is not related to muscle wasting during life.

3. Which respiratory structure is responsible for the humidification and warming of inhaled air?

• A. Trachea
• B. Larynx
• C. Nasal passages
• D. Bronchi

Correct answer: C

Rationale: The nasal passages are responsible for humidifying and warming inhaled air before it reaches the lungs. The mucous membranes in the nasal passages help add moisture to the air and warm it to body temperature. This process is crucial for protecting the lung tissues from potential damage caused by cold and dry air, ensuring optimal conditions for respiration. The trachea (Choice A) is responsible for conducting air to and from the lungs, the larynx (Choice B) is involved in sound production and protecting the airway during swallowing, and the bronchi (Choice D) are the branches of the trachea that further divide to deliver air to the lungs but are not primarily responsible for humidifying and warming inhaled air.

4. A rocket engine expels hot gases backwards. What principle explains the rocket's forward motion?

• A. Newton's first law of motion
• B. Newton's second law of motion
• C. Newton's third law of motion
• D. Law of conservation of energy

Correct answer: C

Rationale: Newton's third law of motion states that for every action, there is an equal and opposite reaction. In the case of a rocket engine expelling hot gases backwards, the action is the expulsion of gases, and the reaction is the forward motion of the rocket. The hot gases being expelled act as the action force, propelling the rocket in the opposite direction as the reaction force, resulting in the rocket's forward motion. Newton's first law of motion (Choice A) pertains to inertia, stating that an object in motion will stay in motion unless acted upon by an external force. Newton's second law of motion (Choice B) relates force, mass, and acceleration, which is not directly applicable to the scenario of a rocket engine propulsion. The law of conservation of energy (Choice D) is a fundamental principle stating that energy cannot be created or destroyed but can only be transformed, which does not directly explain the forward motion of the rocket in this context.

5. Which type of waves require a medium (solid, liquid, or gas) to propagate?

• A. Transverse waves
• B. Longitudinal waves
• C. Electromagnetic waves
• D. Surface waves

Correct answer: B

Rationale: Longitudinal waves require a medium (solid, liquid, or gas) to propagate because the particles in the medium move parallel to the direction of the wave. As a result, they rely on the medium for transmission. Transverse waves, on the contrary, do not need a medium and can travel through a vacuum, making choice A incorrect. Electromagnetic waves, represented by choice C, do not require a medium as they consist of oscillating electric and magnetic fields that can propagate through a vacuum. Surface waves, the option in D, involve a combination of both longitudinal and transverse motion and do require a medium to travel, but longitudinal waves are the ones that strictly depend on a medium for propagation.

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