Nursing Elites

1. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: C

Rationale: The correct answer is C: "Angina pectoris." Angina pectoris is the condition that occurs when there is a blockage in a coronary artery, leading to reduced blood flow to the heart muscle. This decreased blood flow can cause chest pain or discomfort, typically during physical exertion or stress. Atherosclerosis (option A) is the buildup of plaque in the artery walls, which can lead to blockages. Myocardial infarction (option B) refers to a heart attack, which occurs when there is a complete blockage in a coronary artery resulting in damage to the heart muscle. A heart murmur (option D) is an abnormal sound heard during the heartbeat, not directly related to a blockage in a coronary artery. Therefore, the correct term for a blockage in a coronary artery that reduces blood flow to the heart muscle is angina pectoris.

2. The human immunodeficiency virus (HIV) targets and destroys which type of immune cell?

• A. Neutrophils
• B. Macrophages
• C. Helper T cells
• D. Memory B cells

Correct answer: A

Rationale: The correct answer is C: Helper T cells. HIV targets and destroys Helper T cells, which are a crucial component of the immune system responsible for coordinating the immune response. Neutrophils and macrophages are also important immune cells, but they are not the primary target of HIV. Memory B cells are responsible for mounting a rapid response upon re-exposure to a pathogen but are not the main target of HIV. Thus, HIV primarily affects Helper T cells, leading to the weakening of the immune system and the development of acquired immunodeficiency syndrome (AIDS).

3. Which statement accurately describes the periodic trends in atomic radius?

• A. Increases down a group and decreases across a period
• B. Decreases down a group and increases across a period
• C. Remains constant throughout the table
• D. Fluctuates unpredictably based on individual elements

Correct answer: A

Rationale: Moving down a group, additional electron shells increase the distance from the nucleus, leading to larger atomic radii. Moving across a period, the number of electron shells remains constant, but the increasing nuclear charge pulls electrons closer, resulting in smaller radii.

4. Which part of the brain is responsible for coordinating muscle movements, maintaining balance, and posture?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Thalamus

Correct answer: b

Rationale: The correct answer is B: Cerebellum. The cerebellum is responsible for coordinating muscle movements, maintaining balance, and posture. It receives information from the sensory systems, the spinal cord, and other parts of the brain to regulate voluntary movements. The cerebrum, on the other hand, is mainly responsible for higher brain functions such as thinking and problem-solving. The medulla oblongata controls autonomic functions like breathing and heart rate, while the thalamus acts as a relay station for sensory information. Therefore, the cerebellum is the specific part of the brain that plays a crucial role in motor coordination and balance.

5. Which of the following functional groups has the highest priority according to the Cahn-Ingold-Prelog (CIP) ranking system?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: According to the Cahn-Ingold-Prelog (CIP) ranking system, the priority of functional groups is determined based on the atomic number of the atoms directly bonded to the functional group. In this case, carboxylic acid (COOH) has the highest priority because the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers than carbon. The alcohol (OH) group has a lower priority as the oxygen atom is only bonded to hydrogen, while the aldehyde (CHO) and amine (NH2) groups have lower priorities compared to carboxylic acid. Therefore, option C, carboxylic acid, is the correct answer as it has the highest priority in the CIP ranking system.

6. The ball-and-socket joint, which allows for wide range of motion, is found in the connection between:

• A. Upper arm and shoulder blade (scapula)
• B. Collarbone (clavicle) and breastbone (sternum)
• C. Two vertebrae in the spine
• D. Ribs and sternum

Correct answer: A

Rationale: The correct answer is A: 'Upper arm and shoulder blade (scapula).' The ball-and-socket joint is found in the connection between the humerus (upper arm bone) and the scapula (shoulder blade). This joint allows for a wide range of motion, including flexion, extension, abduction, adduction, and rotation. The collarbone (clavicle) and breastbone (sternum) are connected by a cartilaginous joint, not a ball-and-socket joint. Two vertebrae in the spine are connected by facet joints, and the ribs and sternum are connected by cartilaginous joints and the costovertebral joints. Therefore, the ball-and-socket joint is uniquely found in the connection between the upper arm and the shoulder blade, allowing for the shoulder's impressive range of motion.

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