Nursing Elites

1. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

2. What is the formula to calculate gravitational potential energy near the Earth's surface?

• A. Potential Energy = Mass × Acceleration
• B. Potential Energy = Force × Distance
• C. Potential Energy = Mass × Height × Gravity
• D. Potential Energy = Mass × Acceleration due to gravity × Height

Correct answer: D

Rationale: The correct formula to calculate gravitational potential energy near the Earth's surface is Potential Energy = Mass × Acceleration due to gravity × Height. This formula considers the mass of the object, the specific acceleration due to gravity near the Earth's surface (approximately 9.81 m/s^2), and the vertical distance from the reference point. Choice A is incorrect as it does not include height in the formula. Choice B is incorrect as it involves force instead of acceleration due to gravity. Choice C is incorrect as it multiplies mass, height, and gravity, missing the actual acceleration due to gravity term.

3. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

4. Which of the following terms means toward the front of the body?

• A. Superior
• B. Anterior
• C. Inferior
• D. Posterior

Correct answer: B

Rationale: The correct answer is B: Anterior. The term 'anterior' specifically refers to the front of the body. In anatomical terms, anterior is the opposite of posterior, which means toward the back of the body. Superior and inferior, choices A and C, respectively, refer to top and bottom directions, not front and back. Therefore, 'Anterior' is the most appropriate term for describing a position toward the front of the body.

5. What impact would the removal of a keystone species have in an ecosystem?

• A. Lead to a decrease in competition among other species
• B. Cause a slight increase in primary productivity
• C. Have a minimal impact on the overall ecosystem structure
• D. Disrupt the food web and cause cascading effects on other populations

Correct answer: D

Rationale: Keystone species play a crucial role in maintaining the balance and structure of an ecosystem due to their significant influence. If a keystone species is removed, it disrupts the delicate food web dynamics and can trigger cascading effects throughout the ecosystem. The disruption in predator-prey relationships can lead to population declines and even extinctions of other species. Options A, B, and C are incorrect because the removal of a keystone species would not decrease competition among other species, cause a slight increase in primary productivity, or have a minimal impact on the overall ecosystem structure. Instead, it would have a profound impact, disrupting the food web and causing cascading effects on other populations.

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