Nursing Elites

1. What is the term for the pressure exerted by blood against the walls of blood vessels?

• A. Heart rate
• B. Blood pressure
• C. Cardiac output
• D. Stroke volume

Correct answer: B

Rationale: Blood pressure is the term for the pressure exerted by blood against the walls of blood vessels. It is measured in millimeters of mercury (mmHg) and consists of two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). Heart rate (A) is the number of times the heart beats per minute, cardiac output (C) is the volume of blood pumped by the heart per minute, and stroke volume (D) is the volume of blood pumped by the heart in one contraction. Understanding blood pressure is crucial in assessing cardiovascular health and the risk of various conditions like hypertension.

2. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

3. The 'fight-or-flight' response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

4. Which of the following units is used to express concentration as a mass of solute per unit volume of solution?

• A. Molality (m)
• B. Molarity (M)
• C. Weight percent (%)
• D. Parts per million (ppm)

Correct answer: A

Rationale: Molality (m) is the unit used to express concentration as a mass of solute per unit volume of solution. It is calculated by dividing the mass of solute in grams by the mass of the solvent in kilograms. Molality is preferred over molarity when there are large temperature variations as it is temperature-independent, making it a more accurate measure of concentration. Molarity (B) is the unit used to express concentration as moles of solute per liter of solution, weight percent (C) is the mass of solute per 100 parts of the total mass of the solution, and parts per million (D) is used to express very small concentrations where 1 ppm is equivalent to 1 mg of solute per liter of solution.

5. What is a reaction between an acid and a base known as?

• A. Precipitation
• B. Neutralization
• C. Oxidation-reduction
• D. Photolysis

Correct answer: B

Rationale: The correct answer is B: Neutralization. When an acid and a base react, they neutralize each other's properties, resulting in the formation of water and a salt. Choice A, 'Precipitation,' refers to the formation of a solid from a solution during a chemical reaction. Choice C, 'Oxidation-reduction,' involves the transfer of electrons between reactants. Choice D, 'Photolysis,' is a reaction where a compound is broken down into smaller components by light energy. Therefore, the most appropriate term for a reaction between an acid and a base is neutralization.

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