Nursing Elites

1. How can the peripheral nervous system be further divided?

• A. Sensory and motor
• B. Sympathetic and parasympathetic
• C. Myelinated and unmyelinated
• D. Central and peripheral

Correct answer: A

Rationale: The peripheral nervous system can be further divided into sensory (afferent) neurons that carry information from sensory receptors to the central nervous system and motor (efferent) neurons that carry information from the central nervous system to muscles and glands. Choice A, 'Sensory and motor,' is the correct answer as it accurately identifies the two main functional divisions of the peripheral nervous system. Choices B, 'Sympathetic and parasympathetic,' are divisions of the autonomic nervous system, not the peripheral nervous system. Choice C, 'Myelinated and unmyelinated,' refers to the structural classification of nerve fibers rather than functional divisions. Choice D, 'Central and peripheral,' contrasts the central nervous system with the peripheral nervous system, not further dividing the peripheral nervous system itself.

2. Which digestive enzyme is primarily responsible for breaking down proteins?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Maltase

Correct answer: A

Rationale: The correct answer is A, Pepsin. Pepsin is primarily responsible for breaking down proteins in the stomach. It is produced in an inactive form called pepsinogen, which becomes activated by the acidic environment in the stomach. Pepsin functions by breaking down proteins into smaller peptides, which are further digested by other enzymes in the small intestine. Lipase is responsible for breaking down fats, amylase for carbohydrates, and maltase for converting maltose into glucose. Therefore, choices B, C, and D are incorrect as they are associated with breaking down fats, carbohydrates, and converting maltose, respectively, not proteins.

3. Why are elements in Group 18 (Noble gases) generally unreactive?

• A. They have high atomic masses
• B. They lack valence electrons
• C. Their outermost electron shells are completely filled
• D. They exist as single atoms, not molecules

Correct answer: C

Rationale: Elements in Group 18 (Noble gases) are generally unreactive because their outermost electron shells are completely filled. This results in high stability and low reactivity since they have achieved a full valence shell configuration, making them less likely to gain, lose, or share electrons with other atoms. The full valence shell configuration leads to a minimal tendency for these elements to form chemical bonds, hence exhibiting low reactivity. Choices A, B, and D are incorrect because high atomic masses, lack of valence electrons, and existing as single atoms do not directly contribute to the unreactivity of noble gases. It is the full valence shell configuration that is the primary reason for their inert nature.

4. Which of the following is a condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, and shortness of breath?

• A. Pneumonia
• B. Tuberculosis
• C. Asthma
• D. Emphysema

Correct answer: C

Rationale: Asthma is a chronic condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, and shortness of breath. Pneumonia, caused by an infection in the lungs, presents with symptoms like fever, chills, and cough with sputum. Tuberculosis is a bacterial infection that primarily affects the lungs, leading to symptoms such as persistent cough, chest pain, and weight loss. Emphysema, a type of chronic obstructive pulmonary disease, is characterized by the destruction of the air sacs in the lungs, causing symptoms like shortness of breath and chronic cough. Therefore, among the options provided, asthma best fits the description of a condition with airway inflammation and narrowing.

5. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

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