Nursing Elites

1. Which of the following equations represents a redox reaction?

• A. 2H2 + O2 → 2H2O
• B. Zn + 2HCl → ZnCl2 + H2
• C. 2NaCl → 2Na + Cl2
• D. CH4 + 2O2 → CO2 + 2H2O

Correct answer: B

Rationale: A redox reaction involves the transfer of electrons between reactants. In option B, Zn loses electrons to form Zn2+ while H+ gains electrons to form H2. This exchange of electrons demonstrates a redox reaction, making choice B the correct answer. In options A, C, and D, there is no clear transfer of electrons between the reactants, indicating that they are not redox reactions. Option A represents a synthesis reaction, option C represents a decomposition reaction, and option D represents a combustion reaction. These types of reactions do not involve the transfer of electrons between reactants, unlike a redox reaction.

2. Which part of the nervous system is responsible for the “fight-or-flight” response?

• A. Somatic nervous system
• B. Parasympathetic nervous system
• C. Sympathetic nervous system
• D. Enteric nervous system

Correct answer: C

Rationale: The sympathetic nervous system is responsible for the 'fight-or-flight' response, triggering the body's automatic response to a perceived threat or danger. This system initiates physiological changes like increased heart rate, dilated pupils, and the release of adrenaline, preparing the body to confront or escape the threat. The somatic nervous system (Choice A) controls voluntary movements, the parasympathetic nervous system (Choice B) is responsible for the 'rest and digest' response to promote relaxation and digestion, and the enteric nervous system (Choice D) regulates the gastrointestinal system. Therefore, they are not associated with the 'fight-or-flight' response.

3. What does bradycardia refer to in terms of heart rate?

• A. Normal (60-100 bpm)
• B. Slightly elevated (100-120 bpm)
• C. Significantly elevated (>120 bpm)
• D. Abnormally slow (<60 bpm)

Correct answer: D

Rationale: Bradycardia refers to an abnormally slow heart rate, typically defined as less than 60 beats per minute. This condition can result in inadequate blood flow to meet the body's demands. It is crucial to distinguish between bradycardia and tachycardia, which is a fast heart rate, as they require different management strategies. Options A, B, and C are incorrect because they describe normal, slightly elevated, and significantly elevated heart rates, respectively, rather than an abnormally slow heart rate characteristic of bradycardia. Recognizing bradycardia is essential for appropriate evaluation and intervention in clinical settings.

4. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath.
• D. Numbness or tingling in the extremities.

Correct answer: B

Rationale: Chest pain or discomfort is the most common symptom of angina pectoris. This pain is often described as squeezing, pressure, heaviness, tightness, or pain in the chest. Fever and chills, sudden onset of severe shortness of breath, and numbness or tingling in the extremities are not typical symptoms of angina pectoris. The pain associated with angina is usually triggered by physical or emotional stress and typically subsides with rest or medication, distinguishing it from other conditions.

5. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

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