Nursing Elites

1. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

2. When sodium hydroxide (NaOH) reacts with hydrochloric acid (HCl), the resulting product is:

• A. Hydrogen gas and sodium chloride (NaCl)
• B. Chlorine gas and sodium oxide (Na2O)
• C. Sodium metal (Na) and water (H2O)
• D. No reaction occurs.

Correct answer: A

Rationale: When sodium hydroxide (NaOH) reacts with hydrochloric acid (HCl), a neutralization reaction occurs. The products of this reaction are water (H2O) and a salt, which is sodium chloride (NaCl). The chemical equation for this reaction is: NaOH + HCl -> NaCl + H2O. Choice B is incorrect because chlorine gas and sodium oxide are not the products of this reaction. Choice C is incorrect as sodium metal and water are not the products formed in this neutralization reaction. Choice D is incorrect because a reaction does occur between NaOH and HCl, resulting in the formation of NaCl and H2O. Therefore, the correct answer is A: Hydrogen gas and sodium chloride (NaCl).

3. Which hormone, produced by the pancreas, is released in response to low blood sugar levels and stimulates the release of glucose into the bloodstream?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: Glucagon is the hormone produced by the pancreas that is released in response to low blood sugar levels. It acts to stimulate the release of glucose into the bloodstream by promoting the breakdown of glycogen in the liver. Insulin, conversely, is released in response to high blood sugar levels and promotes the uptake of glucose by cells. Cortisol is a steroid hormone produced by the adrenal glands that regulates metabolism and the immune response. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism but is not involved in responding to low blood sugar levels.

4. Which of the following is the best unit to measure the amount of blood in the human body?

• A. Ounces
• B. Liters
• C. Milliliters
• D. Pounds

Correct answer: B

Rationale: Liters are the best unit to measure the amount of blood in the human body because blood volume is typically measured in liters in the medical field. Using liters provides a standardized and accurate measurement of the significant amount of blood in the human body, which is typically around 5-6 liters for an average-sized adult. Other units like ounces, milliliters, and pounds are not commonly used to measure blood volume in clinical settings. Ounces are too small a unit for measuring blood volume, milliliters are less commonly used in this context compared to liters, and pounds are a unit of weight rather than volume.

5. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

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