Nursing Elites

1. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

2. What is the primary function of the digestive system?

• A. To break down food into nutrients
• B. To absorb oxygen
• C. To produce energy
• D. To regulate body temperature

Correct answer: A

Rationale: The correct answer is A: 'To break down food into nutrients.' The primary function of the digestive system is to break down food into nutrients that can be absorbed by the body for energy, growth, and repair. The digestive system is not responsible for absorbing oxygen (Choice B), as that is the role of the respiratory system. While the digestion process does release energy from nutrients, the primary function is not to produce energy (Choice C), but rather to extract nutrients for energy production. Regulating body temperature (Choice D) is primarily handled by the thermoregulatory mechanisms in the body, such as the skin and sweat glands, not the digestive system.

3. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

4. What happens to the diaphragm during inspiration?

• A. It moves upward
• B. It moves downward
• C. It expands
• D. It contracts and moves downward

Correct answer: D

Rationale: During inspiration, the diaphragm contracts and moves downward. This action increases the volume of the thoracic cavity, which lowers the air pressure inside the lungs, allowing air to flow in. The downward movement and contraction of the diaphragm create the necessary space for the lungs to expand and fill with air. Choice A, 'It moves upward,' is incorrect as the diaphragm moves downward. Choice B, 'It moves downward,' is partially correct but misses the contraction aspect. Choice C, 'It expands,' is incorrect as the diaphragm itself does not expand during inspiration. Therefore, choice D, 'It contracts and moves downward,' is the most accurate description of the diaphragm's action during inspiration.

5. What is the primary function of the stomach?

• A. To store food and break it down into smaller pieces
• B. To absorb nutrients into the bloodstream
• C. To produce enzymes that assist in digesting food
• D. To eliminate waste products from the body

Correct answer: A

Rationale: The main function of the stomach is to store food, churn it, and break it down into smaller pieces through mechanical digestion. This process is facilitated by the mixing of food with gastric juices, including stomach acid. The mechanical breakdown in the stomach helps initiate the digestion of food before it progresses to the small intestine for further digestion and nutrient absorption. Absorption of nutrients into the bloodstream primarily occurs in the small intestine, not the stomach. Enzymes that aid in digesting food are primarily produced in the pancreas and small intestine, not in the stomach. The elimination of waste products from the body mainly occurs through the large intestine and rectum, not the stomach.

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