Nursing Elites

1. Which of the following is the smallest part of an element that can still be recognized as that element?

• A. Electron
• B. Proton
• C. Neutron
• D. Atom

Correct answer: D

Rationale: An atom is the smallest unit of matter that retains the chemical properties of an element. It consists of a nucleus containing protons and neutrons, surrounded by electrons that orbit the nucleus. The number of protons in the nucleus defines the atomic number of the element, and the number of neutrons determines the isotope of the element. While electrons, protons, and neutrons are fundamental particles, an atom as a whole is the smallest part of an element that maintains its unique identity. Electrons are negatively charged particles orbiting the nucleus, protons are positively charged particles in the nucleus, and neutrons are neutral particles in the nucleus. Therefore, the correct answer is 'D: Atom.'

2. What is the main component of bile, a substance that aids in fat digestion?

• A. Proteins
• B. Carbohydrates
• C. Bile salts
• D. Vitamins

Correct answer: C

Rationale: Bile is a digestive fluid produced by the liver and stored in the gallbladder. Bile salts are the main component of bile that aid in the digestion and absorption of fats in the small intestine. Bile salts help emulsify fats, breaking them down into smaller droplets that can be more easily digested by enzymes. Proteins, carbohydrates, and vitamins are not the main components of bile and do not play a significant role in fat digestion. Therefore, the correct answer is 'Bile salts.' Choices A, B, and D are incorrect as they are not the main components of bile and do not contribute to fat digestion.

3. How are kidney stones formed?

• A. Due to excess water not being reabsorbed
• B. When minerals crystallize in the urine
• C. When electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: Kidney stones are formed when minerals in the urine crystallize and stick together to form solid masses. Excess water not being reabsorbed (option A) does not directly contribute to kidney stone formation. Similarly, electrolytes becoming too concentrated (option C) is not a direct cause of kidney stone formation. The correct answer is B because the crystallization of minerals in the urine leads to the formation of kidney stones.

4. Which muscle has involuntary cells that are branched and striated and connected by intercalated discs with gap junctions?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Epithelial muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle cells fit the description provided in the question; they are involuntary, striated, and branched, with intercalated discs containing gap junctions that allow for synchronized contractions of the heart. Smooth muscle (choice A) lacks striations and is found in the walls of internal organs. Skeletal muscle (choice C) is voluntary and attaches to bones for movement. 'Epithelial muscle' (choice D) is not a valid muscle type, making it an incorrect choice.

5. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

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