Nursing Elites

1. What controls the involuntary, rhythmic contractions of the heart muscle?

• A. Lungs
• B. Brain
• C. Spinal cord
• D. Sinoatrial node (located within the heart)

Correct answer: D

Rationale: The correct answer is D: Sinoatrial node (located within the heart). The involuntary, rhythmic contractions of the heart muscle are controlled by a specialized group of cells located within the heart called the sinoatrial node (SA node). The SA node acts as the heart's natural pacemaker, producing electrical impulses that regulate the heart rate and synchronize the contractions of the heart muscle. Choices A, B, and C (Lungs, Brain, Spinal cord) are not responsible for directly influencing the rhythmic contractions of the heart muscle.

2. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels due to the presence of one-way valves within the vessels. These valves prevent the backflow of lymph and help propel the fluid forward as muscles contract and relax or due to breathing movements. Unlike blood circulation, the lymphatic system does not rely on the pumping action of the heart to move lymph. Choice A is incorrect because lymphatic circulation does not depend on the pumping action of the heart. Choice B is partly correct as muscle contractions and breathing movements do assist in propelling lymph, but the primary mechanism is the presence of one-way valves within the vessels, making choice C the most accurate answer. Choice D is incorrect as not all options listed contribute to how lymph moves through the lymphatic vessels.

3. Which of the following best describes a balanced force acting on an object?

• A. The object remains at rest
• B. The object moves with constant velocity
• C. The object accelerates
• D. The object's mass changes

Correct answer: B

Rationale: When a balanced force acts on an object, the net force is zero, resulting in no acceleration. This means that the object will continue to move with a constant velocity if it was already in motion or remain at rest if it was initially stationary. Choice A is incorrect because the object can also move with constant velocity. Choice C is incorrect as acceleration only occurs when an unbalanced force is applied. Choice D is incorrect as the mass of an object is not affected by the balance of forces acting on it.

4. What is the product of the reaction between hydrochloric acid (HCl) and sodium hydroxide (NaOH)?

• A. NaCl + H2O
• B. NaOH + HCl
• C. Na2Cl + H2O
• D. NaClO3 + H2

Correct answer: A

Rationale: When hydrochloric acid (HCl) reacts with sodium hydroxide (NaOH), it forms sodium chloride (NaCl) and water (H2O) according to the following chemical equation: HCl + NaOH -> NaCl + H2O. Therefore, the correct answer is NaCl + H2O (Choice A). This reaction is a classic acid-base neutralization reaction where the acid (HCl) reacts with the base (NaOH) to form a salt (NaCl) and water (H2O). Choice B (NaOH + HCl) is incorrect because the order of the reactants matters in a chemical reaction, and in this case, HCl is the acid reacting with NaOH. Choices C (Na2Cl + H2O) and D (NaClO3 + H2) are incorrect because they do not represent the products of the reaction between HCl and NaOH as per the balanced chemical equation.

5. What is the name of the bone marrow cavity in the long bones where red blood cells are produced?

• A. Periosteum
• B. Diaphysis
• C. Medullary cavity
• D. Epiphysis

Correct answer: C

Rationale: The medullary cavity is the correct answer. It is the central cavity within the shafts of long bones where red bone marrow is located, responsible for the production of red blood cells. The periosteum is the outer layer of bone that provides nourishment and participates in bone repair. The diaphysis refers to the shaft of a long bone that contains yellow bone marrow. The epiphysis is the end of a long bone involved in joint articulation and contains red bone marrow in children for blood cell production.

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