Nursing Elites

1. A patient's oxygen flow rate is set at 4 liters per minute. How many cubic centimeters of oxygen are delivered per minute?

• A. 400 cubic centimeters
• B. 4,000 cubic centimeters
• C. 40,000 cubic centimeters
• D. 400,000 cubic centimeters

Correct answer: B

Rationale: Remember 1 liter is equal to 1000 cubic centimeters. Multiply the flow rate in liters per minute by the conversion factor: 4 liters/minute * 1000 cm³/liter = 4,000 cubic centimeters/minute.

2. Which element makes up the majority of the Earth's atmosphere?

• A. Nitrogen
• B. Oxygen
• C. Carbon dioxide
• D. Argon

Correct answer: A

Rationale: Nitrogen is the most abundant gas in the Earth's atmosphere, crucial for plant life and maintaining the planet's temperature balance.

3. The primary function of the placenta during pregnancy is to:

• A. Produce insulin
• B. Facilitate gas exchange between mother and fetus
• C. Excrete waste products from the fetus
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' The placenta serves multiple crucial functions during pregnancy. It facilitates gas exchange between the mother and fetus, ensuring the transfer of oxygen and nutrients while removing carbon dioxide and waste products. Additionally, the placenta produces hormones like insulin that help regulate the mother's metabolism and support the development of the fetus. Therefore, the placenta plays a vital role in maintaining a healthy environment for the growing fetus by providing essential nutrients, removing waste, and regulating hormonal balance.

4. The "fight-or-flight" response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Adrenal glands. The "fight-or-flight" response is a physiological reaction that occurs in response to a perceived threat or danger. When this response is triggered, the adrenal glands release adrenaline, also known as epinephrine, into the bloodstream. This hormone prepares the body for action by increasing heart rate, dilating airways, and redirecting blood flow to essential organs. The thyroid gland (option A) primarily regulates metabolism, the pituitary gland (option C) controls many other hormone glands, and the pancreas (option D) is responsible for regulating blood sugar levels through the production of insulin and glucagon, but they are not directly involved in the fight-or-flight response.

5. 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.

6. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins, and gram-positive bacteria produce exotoxins rather than endotoxins. Parasites are not typically associated with the production of endotoxins.

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