Nursing Elites

1. What are the four chambers of the heart?

• A. Right atrium, left atrium, right ventricle, left ventricle
• B. Right atrium, left atrium, right ventricle, left atrium
• C. Left atrium, right ventricle, left ventricle, right atrium
• D. Left atrium, right atrium, left ventricle, right ventricle

Correct answer: A

Rationale: The correct answer is A: Right atrium, left atrium, right ventricle, left ventricle. The heart consists of four chambers: the right atrium, left atrium, right ventricle, and left ventricle. Blood flows from the body into the right atrium, then to the right ventricle, where it is pumped to the lungs for oxygenation. Oxygenated blood returns to the left atrium, passes to the left ventricle, and is then pumped out to the body. Choice B is incorrect because it incorrectly lists the left atrium twice. Choice C is incorrect as it rearranges the order of the chambers. Choice D is incorrect as it mistakenly switches the atria and ventricles in their positions.

2. What is the primary function of red blood cells?

• A. To transport nutrients
• B. To transport oxygen
• C. To fight infection
• D. To produce antibodies

Correct answer: B

Rationale: The correct answer is B: To transport oxygen. Red blood cells play a crucial role in carrying oxygen from the lungs to all the tissues and organs in the body. This oxygen transport is essential for cellular respiration, where oxygen is used in the production of energy. Red blood cells do not primarily transport nutrients, fight infection, or produce antibodies. Choice A is incorrect because while red blood cells do carry some nutrients, their primary function is to transport oxygen. Choice C is incorrect because immune cells, not red blood cells, are responsible for fighting infections. Choice D is incorrect as antibody production is mainly carried out by specialized white blood cells, not red blood cells.

3. 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.

4. How many moles of oxygen are required to completely react with 5 moles of propane (C3H8) in the combustion reaction?

• A. 5 moles
• B. 10 moles
• C. 15 moles
• D. 20 moles

Correct answer: C

Rationale: In the balanced chemical equation for the combustion of propane (C3H8): C3H8 + 5O2 → 3CO2 + 4H2O, 1 mole of propane (C3H8) reacts with 5 moles of oxygen (O2). To determine the moles of oxygen required to react with 5 moles of propane, we use the molar ratio: 5 moles propane x 5 moles oxygen / 1 mole propane = 25 moles oxygen. However, since the question specifically asks for the moles of oxygen needed to react with 5 moles of propane, the correct answer is 15 moles of oxygen. Choice A, 5 moles, is incorrect because this is the amount of propane provided, not the oxygen required. Choice B, 10 moles, is incorrect as it does not correspond to the molar ratio in the balanced equation. Choice D, 20 moles, is incorrect as it is not in line with the stoichiometry of the reaction.

5. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

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