Nursing Elites

1. Isotopes are variants of a single element that differ in:

• A. Having the same number of protons but varying numbers of neutrons
• B. Having the same number of neutrons but varying numbers of protons
• C. Having the same mass but different atomic numbers
• D. None of the above

Correct answer: A

Rationale: The correct answer is A: 'Having the same number of protons but varying numbers of neutrons.' Isotopes are atoms of the same element with the same number of protons (which determines the element) but different numbers of neutrons. This results in isotopes having slightly different atomic masses. Options B and C are incorrect because isotopes specifically refer to variations in the number of neutrons, not protons or atomic numbers. Option D is incorrect because isotopes do exist due to differences in neutron number.

2. Chyle, a milky white fluid, is transported by lymphatic vessels from the:

• A. Lungs
• B. Intestines
• C. Kidneys
• D. Skin

Correct answer: B

Rationale: The correct answer is B: Intestines. Chyle is a milky white fluid that is formed in the small intestine during digestion, mainly from the absorption of dietary fats. It is rich in fats and lymphocytes. Lymphatic vessels in the intestines, called lacteals, absorb the chyle and transport it through the lymphatic system. Chyle eventually enters the bloodstream via the thoracic duct. The lungs are responsible for gas exchange, not the transport of chyle. The kidneys are involved in filtering blood and producing urine. The skin is the body's largest organ responsible for protection, temperature regulation, and sensation, but it is not involved in transporting chyle.

3. The fundamental units of structure and function in all living organisms, including humans, are termed:

• A. Muscles
• B. Organs
• C. Tissues
• D. Cells

Correct answer: D

Rationale: The correct answer is D: Cells. Cells are the fundamental units of structure and function in all living organisms, including humans. They are the building blocks of life, performing various functions necessary for an organism to survive and thrive. Muscles (A) are composed of muscle tissue, which is made up of muscle cells. Organs (B) are structures made up of different types of tissues working together. Tissues (C) are groups of cells that work together to perform specific functions within an organism. However, cells are the smallest unit of life and are responsible for carrying out all the essential processes needed for an organism to function.

4. Coronary arteries are responsible for:

• A. Delivering oxygenated blood throughout the body.
• B. Supplying oxygenated blood to the heart muscle itself.
• C. Carrying deoxygenated blood back to the heart.
• D. Regulating blood pressure through vasoconstriction and vasodilation.

Correct answer: B

Rationale: The correct answer is B: 'Supplying oxygenated blood to the heart muscle itself.' Coronary arteries are specialized blood vessels that branch off the aorta and provide oxygenated blood to the heart muscle. This is crucial for the heart to function properly and maintain its own blood supply separate from the systemic circulation. The other options are incorrect because delivering oxygenated blood throughout the body is the role of the systemic circulation and not specific to coronary arteries. Carrying deoxygenated blood back to the heart is the function of veins, while regulating blood pressure through vasoconstriction and vasodilation is primarily controlled by arteries in general, not just the coronary arteries.

5. The process of a liquid changing into a gas is called:

• A. Evaporation
• B. Boiling
• C. Condensation
• D. Sublimation

Correct answer: A

Rationale: Evaporation occurs at any temperature, while boiling only occurs at the boiling point of the liquid.

6. An IV bag contains 500ml of saline solution and needs to be infused over 4 hours. What is the flow rate in drops per minute, assuming 20 drops per milliliter?

• A. 12.5 drops/min
• B. 25 drops/min
• C. 50 drops/min
• D. 100 drops/min

Correct answer: C

Rationale: Calculate the total volume in drops (500ml * 20 drops/ml = 10,000 drops). Divide this by the infusion time in minutes (4 hours * 60 minutes/hour = 240 minutes) to get the flow rate.

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