Nursing Elites

1. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

2. Which of the following is most different from the others?

• A. Thyroid gland
• B. Stomach
• C. Intestines
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B, 'Stomach.' The stomach is an organ of the digestive system responsible for breaking down food through mechanical and chemical digestion. In contrast, the thyroid, intestines, and pancreas are glands. The thyroid gland regulates metabolism through hormone secretion, the intestines aid in digestion and nutrient absorption, and the pancreas secretes digestive enzymes and hormones. Therefore, the stomach is functionally different from the other options as it is an organ involved in digestion, while the others are glands with specific secretory functions.

3. Why is the electrical conductivity of a strong acid solution higher than that of a weak acid solution?

• A. Strong acids are more concentrated.
• B. Strong acids release more hydrogen ions.
• C. Weak acids are better at dissolving salts.
• D. Strong acids have a lower pH.

Correct answer: B

Rationale: The correct answer is B because strong acids release more hydrogen ions compared to weak acids. This higher concentration of ions in the solution leads to a higher electrical conductivity. Strong acids ionize completely in solution, producing a higher concentration of ions that can conduct electricity, whereas weak acids only partially ionize, resulting in a lower concentration of ions and lower electrical conductivity. Choice A is incorrect because the concentration of the acid does not directly determine its electrical conductivity. Choice C is incorrect as the ability to dissolve salts is not directly related to electrical conductivity. Choice D is incorrect because the pH of the solution, although related to acidity, does not directly determine the electrical conductivity.

4. Which term describes the resistance of a substance to being hammered into different shapes?

• A. Viscosity
• B. Ductility
• C. Malleability
• D. Conductivity

Correct answer: C

Rationale: Malleability is the property that allows a substance to be hammered or rolled into thin sheets without breaking. It is the opposite of brittleness. Ductility refers to the ability of a material to be drawn into thin wires, not hammered into shapes. Viscosity is the measure of a fluid's resistance to flow, indicating how thick or sticky it is, not related to shaping by hammering. Conductivity refers to the ability of a material to conduct electricity or heat, not resistance to being hammered into different shapes.

5. What is the term for a repetitive, involuntary muscle contraction that can cause pain and stiffness?

• A. Cramp
• B. Spasm
• C. Tic
• D. Fibrosis

Correct answer: B

Rationale: A spasm is a repetitive, involuntary muscle contraction that can cause pain and stiffness. While cramps are a type of spasm, not all spasms are cramps. Tics are sudden, repetitive movements or sounds made involuntarily. Fibrosis refers to the formation of excess fibrous connective tissue in an organ or tissue as part of a reparative or reactive process. In this context, a spasm best fits the description provided, making it the correct answer. Cramp, although related to spasms, is more specific and not the general term being sought. Tic does not describe a muscle contraction but rather sudden movements or sounds. Fibrosis does not directly relate to muscle contractions but rather to the formation of excess fibrous tissue in organs or tissues.

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