Nursing Elites

1. What happens to the internal energy of a system when it performs work on its surroundings?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Insufficient information.

Correct answer: B

Rationale: When a system performs work on its surroundings, it loses energy in the form of work done. This results in a decrease in the internal energy of the system. Work done by the system is considered as negative work, leading to a decrease in internal energy. Therefore, the correct answer is that the internal energy decreases when a system performs work on its surroundings. Choice A is incorrect as the internal energy decreases, not increases. Choice C is incorrect because the internal energy changes due to the work done. Choice D is incorrect because the information provided is sufficient to determine the change in internal energy.

2. A researcher wants to investigate the relationship between family income and quality of medical care. Which statement provides the best reason to conduct this investigation?

• A. The researcher can identify affordable medical care to recommend to low-income families.
• B. The investigation can help identify individuals who are healthy so they can maintain their health.
• C. Results of this investigation may identify a group of people who do not receive quality medical care and could benefit from improved medical treatments.
• D. There is a valid reason to conduct this investigation.

Correct answer: C

Rationale: The correct answer is C because identifying a group of individuals who do not receive quality medical care can lead to targeted interventions to improve their access to better medical treatments. This investigation can help address disparities in healthcare and improve outcomes for those in need. Choice A is incorrect because the focus is on identifying those who lack quality medical care, not just affordable care. Choice B is incorrect as it misinterprets the purpose of the investigation, which is to improve medical care for those not receiving quality care, rather than maintaining the health of those already healthy. Choice D is too vague and does not provide a specific reason for conducting the investigation, unlike choice C which highlights the potential benefits of identifying individuals in need of improved medical treatments.

3. Which of the following is NOT a major component of a healthy blood pressure reading?

• A. Systolic pressure (peak pressure during ventricular contraction)
• B. Diastolic pressure (pressure within arteries during ventricular relaxation)
• C. Pulse pressure (difference between systolic and diastolic pressure)
• D. Blood oxygen saturation levels. While blood oxygen levels are crucial for overall health, they are not directly reflected in a blood pressure reading.

Correct answer: D

Rationale: Blood oxygen saturation levels are essential for overall health but are not directly part of a blood pressure reading. A healthy blood pressure reading consists of systolic pressure, diastolic pressure, and pulse pressure. Systolic pressure represents the peak pressure during ventricular contraction, diastolic pressure reflects the pressure within arteries during ventricular relaxation, and pulse pressure is the difference between systolic and diastolic pressure. These components collectively provide information about the pressure variations within the arteries throughout the cardiac cycle phases, contributing to the assessment of cardiovascular health. Therefore, choice D, blood oxygen saturation levels, is not a major component of a healthy blood pressure reading and is the correct answer. Choices A, B, and C are major components of a healthy blood pressure reading and directly relate to the pressure variations within the arteries during different phases of the cardiac cycle.

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. Antigen-antibody binding is the principle behind:

• A. Vaccination
• B. Disinfection
• C. Sterilization
• D. Antibiotic resistance

Correct answer: A

Rationale: Antigen-antibody binding is the principle behind vaccination. When a vaccine containing antigens (weakened or killed pathogens) is introduced into the body, the immune system produces antibodies that bind to these antigens. This binding triggers an immune response, leading to the production of memory cells that provide immunity against future infections by the same pathogen. Vaccination helps the body develop immunity without causing the disease itself, thereby protecting individuals from infectious diseases. Disinfection and sterilization involve different processes to eliminate or reduce pathogens on surfaces or objects. Antibiotic resistance is a phenomenon where bacteria evolve to resist the effects of antibiotics and is not directly related to antigen-antibody binding.

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