Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system. Enthalpy (B) is the total heat content of a system. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure.

2. Antibiotic resistance in bacteria is an example of:

• A. Convergent evolution
• B. Divergent evolution
• C. Microevolution
• D. Macroevolution

Correct answer: C

Rationale: Rationale: - Convergent evolution (option A) refers to the process by which different species evolve similar traits independently in response to similar environmental pressures. Antibiotic resistance in bacteria does not involve different species evolving similar traits. - Divergent evolution (option B) refers to the process by which two or more related species become more dissimilar over time. Antibiotic resistance in bacteria does not involve related species becoming more dissimilar. - Microevolution (option C) refers to changes in allele frequencies within a population over a relatively short period of time. Antibiotic resistance in bacteria is a classic example of microevolution, where bacteria evolve resistance to antibiotics through the natural selection of pre-existing resistant strains. - Macroevolution (option D) refers to large-scale evolutionary changes that result in the formation of new species or higher taxonomic groups. Antibiotic resistance in bacteria does not involve

3. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole)
• D. The depolarization of the atria.

Correct answer: D

Rationale: The correct answer is D: The P wave on an ECG represents the depolarization of the atria. During a healthy heartbeat, the P wave is the first positive deflection seen on the ECG and reflects the initiation of the electrical impulse in the atria, leading to atrial contraction. It is followed by the QRS complex, which represents the depolarization of the ventricles. Options A, B, and C are incorrect because the P wave specifically corresponds to atrial depolarization, not repolarization of the ventricles, electrical conduction through the AV node, or ventricular contraction. Understanding the sequence of electrical events in the heart as represented on an ECG is crucial for interpreting cardiac function and identifying potential abnormalities.

4. What property of a wave determines the loudness of sound when heard by the human ear?

• A. Frequency
• B. Amplitude
• C. Wavelength
• D. Velocity

Correct answer: b

Rationale: The amplitude of a sound wave correlates with its perceived loudness by the human ear.

5. The term "goiter" refers to a condition characterized by:

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: The term 'goiter' specifically refers to the abnormal enlargement of the thyroid gland. This can be due to various reasons such as iodine deficiency, Hashimoto's thyroiditis, or Graves' disease. Options A, C, and D are incorrect as they describe conditions related to other glands and hormones in the endocrine system. It is important to differentiate between different endocrine disorders to accurately diagnose and treat patients. Therefore, the correct answer is B, as a goiter is characterized by the excessive growth of the thyroid gland.

6. A medication must be taken twice daily, 12 hours apart. If the first dose is at 8:00 AM, what is the most convenient time for the second dose to avoid disrupting sleep?

• A. 4:00 PM
• B. 6:00 PM
• C. 8:00 PM
• D. 10:00 PM

Correct answer: B

Rationale: Rationale: To take the medication 12 hours apart from the first dose at 8:00 AM, the second dose should be taken at 8:00 PM. However, to avoid disrupting sleep, it is recommended to take the second dose a bit earlier. Taking the second dose at 6:00 PM ensures that the medication is still being taken 12 hours apart while allowing for a buffer before bedtime to avoid any potential disruptions to sleep.

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