Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

2. During vigorous exercise, why does the respiratory rate increase?

• A. Meet the increased demand for oxygen in working muscles
• B. Eliminate excess carbon dioxide more slowly
• C. Conserve energy for physical activity
• D. Decrease the amount of oxygen delivered to the body

Correct answer: A

Rationale: During vigorous exercise, the muscles require more oxygen to produce energy for physical activity. The increased respiratory rate helps to deliver more oxygen to the working muscles to meet this demand. This process is essential for sustaining physical activity and preventing fatigue. Choice A is the correct answer as it accurately describes the purpose of the increased respiratory rate during vigorous exercise. Choices B, C, and D are incorrect. Choice B, 'Eliminate excess carbon dioxide more slowly,' is inaccurate as the primary reason for the increased respiratory rate during exercise is to meet the increased demand for oxygen, not to eliminate carbon dioxide. Choice C, 'Conserve energy for physical activity,' is incorrect because increasing the respiratory rate actually expends energy to meet the oxygen demand of the working muscles. Choice D, 'Decrease the amount of oxygen delivered to the body,' is incorrect as the increased respiratory rate is specifically to deliver more oxygen to the body during exercise.

3. What is the primary function of coronary arteries?

• A. Delivering oxygenated blood throughout the body.
• B. Supplying oxygenated blood to the heart muscle itself.
• C. Carrying deoxygenated blood back to the heart.
• D. Regulating blood pressure through vasoconstriction and vasodilation.

Correct answer: B

Rationale: The primary function of coronary arteries is to supply oxygenated blood to the heart muscle itself. The heart is a muscle that needs a constant supply of oxygen and nutrients to function properly. Coronary arteries branch off the aorta and specifically deliver oxygenated blood to the heart muscle, ensuring its proper function. Choice A is incorrect because coronary arteries do not deliver blood throughout the entire body but specifically to the heart. Choice C is incorrect as coronary arteries carry oxygenated blood away from the heart. Choice D is incorrect as the primary function of the coronary arteries is not to regulate blood pressure but rather to provide oxygenated blood to the heart muscle.

4. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The most common location for an ectopic pregnancy is the fallopian tube. This occurs when the fertilized egg implants and grows outside the uterus, typically in the fallopian tube. Ectopic pregnancies in other locations such as the ovary, cervix, or vagina are much rarer. The fallopian tube is the correct answer because it is the site where the fertilized egg may get stuck during its journey to the uterus, leading to implantation and growth outside the uterus. The ovary is not a common site for ectopic pregnancy, and implantation there can be life-threatening due to the risk of severe bleeding. The cervix and vagina are not typical sites for implantation of a fertilized egg, making them less likely locations for an ectopic pregnancy.

5. Which hormone, produced by the pancreas, acts in opposition to insulin by increasing blood sugar levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: Glucagon is the correct answer. Produced by the pancreas, glucagon acts in opposition to insulin by increasing blood sugar levels. Glucagon promotes the breakdown of glycogen into glucose in the liver, leading to the release of glucose into the bloodstream. Insulin, on the other hand, lowers blood sugar levels by facilitating the uptake of glucose into cells. Cortisol is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and metabolism. Thyroxine is a hormone produced by the thyroid gland and is primarily responsible for regulating metabolism.

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