Nursing Elites

1. Which of the following is the cardiac muscle layer that forms the bulk of the heart?

• A. Endocardium
• B. Epicardium
• C. Fibrous skeleton
• D. Myocardium

Correct answer: D

Rationale: The correct answer is D, Myocardium. The myocardium is the cardiac muscle layer that comprises the majority of the heart's muscle mass. It is responsible for the heart's contractions, allowing it to pump blood throughout the body. The endocardium is the innermost layer of the heart lining the chambers, while the epicardium is the outermost layer covering the heart. The fibrous skeleton provides structural support and serves as an attachment point for cardiac muscle fibers. Therefore, choices A, B, and C are incorrect as they do not represent the primary muscle layer of the heart.

2. Which term describes a substance's ability to undergo a change that transforms it into a different substance?

• A. Density
• B. Mass
• C. Reactivity
• D. Volume

Correct answer: C

Rationale: Reactivity refers to a substance's ability to undergo a change that transforms it into a different substance through a chemical reaction. In this context, reactivity specifically refers to the chemical behavior of a substance. Density, mass, and volume are physical properties of a substance and do not describe its ability to undergo a chemical change. Density is the mass per unit volume, mass is the amount of matter in an object, and volume is the amount of space occupied by an object. Therefore, reactivity is the most appropriate term to describe a substance's ability to undergo a transformation into a different substance.

3. Which of the following lists of joint types is in the correct order for increasing amounts of permitted motion (least mobile to most mobile)?

• A. Hinge, condyloid, saddle
• B. Saddle, hinge, condyloid
• C. Saddle, condyloid, hinge
• D. Hinge, saddle, condyloid

Correct answer: A

Rationale: The correct order of joint types, from least mobile to most mobile, is hinge, condyloid, saddle. A hinge joint allows movement in one plane (like a door hinge), a condyloid joint allows movement in two planes but not rotation (like the wrist), and a saddle joint allows movement in multiple directions (like the thumb). Choice A, 'Hinge, condyloid, saddle,' is the correct sequence as it accurately represents the order of increasing permitted motion in joints. Choices B, C, and D are incorrect because they do not follow the correct order of joint types from least mobile to most mobile as required by the question.

4. What is the pathway of oxygenated blood from the lungs?

• A. Lungs to the left atrium, through the mitral valve into the left ventricle, pumped into the aorta upon contraction, then dispersed to tissues via a network of arteries and capillaries
• B. Lungs to the right atrium, through the mitral valve into the right ventricle, pumped into the aorta upon contraction, then dispersed to tissues via a network of arteries and veins
• C. Lungs to the left atrium, directly to the right aorta, then dispersed to tissues via a network of arteries and capillaries
• D. Lungs to the left atrium, through the septal valve, stored in the left ventricles, then dispersed to tissues via a network of arteries and capillaries

Correct answer: A

Rationale: The correct pathway of oxygenated blood from the lungs is as follows: Oxygenated blood travels from the lungs to the left atrium, then passes through the mitral valve into the left ventricle. From there, it is pumped into the aorta upon contraction of the heart and is then dispersed to various tissues throughout the body via a network of arteries and capillaries. Choice B is incorrect as it incorrectly mentions the right atrium and ventricle, which are associated with deoxygenated blood. Choice C is incorrect as it mentions a direct connection to the right aorta, which does not exist in the circulatory system. Choice D is incorrect as it refers to the septal valve (which is not anatomically correct) and storing blood in the left ventricle, which does not occur in the normal circulation of blood.

5. What property of a substance remains constant regardless of changes in its location in the universe?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: A

Rationale: Mass is the amount of matter in an object and remains constant regardless of its location in the universe. Weight, on the other hand, is the force of gravity acting on an object and can vary depending on the gravitational pull at different locations. Density and volume can change based on the conditions the substance is in, so they are not constant properties. Therefore, the correct answer is mass as it does not change with changes in location.

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