Nursing Elites

1. Positive integers are greater than zero. Which of the following expressions results in the largest positive number?

• A. (2 + 3)^2
• B. 5 x 7 + 2
• C. 10^2 - 4^2
• D. (8 - 1) x 3

Correct answer: C

Rationale: 10^2 - 4^2 = 100 - 16 = 84

2. What is the waxy or oily substance produced by sebaceous glands that helps lubricate the skin and hair?

• A. Keratin
• B. Melanin
• C. Sebum
• D. Sweat

Correct answer: C

Rationale: The correct answer is C: Sebum. Sebum is a waxy or oily substance produced by the sebaceous glands in the skin. It helps lubricate and waterproof the skin and hair, preventing them from drying out. Keratin is a protein found in the skin, hair, and nails, providing structure and strength. Melanin is a pigment that gives color to the skin, hair, and eyes. Sweat is produced by sweat glands and helps regulate body temperature by cooling the skin through evaporation. In this question, sebum specifically refers to the substance produced by sebaceous glands, making it the correct answer.

3. What is the relationship between force and acceleration according to Newton's second law?

• A. Force is directly proportional to acceleration
• B. orce is inversely proportional to acceleration
• C. Force has no relation to acceleration
• D. Force causes deceleration, not acceleration

Correct answer: A

Rationale: According to Newton's second law of motion, the acceleration of an object is directly proportional to the net force acting on it and inversely proportional to its mass. This relationship is mathematically expressed as F = ma, where F represents force, m represents mass, and a represents acceleration. Therefore, an increase in force will result in a proportional increase in acceleration, supporting the statement that force is directly proportional to acceleration.

4. 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.

5. Identify the determiner in the following sentence: A few birds chirped happily in the branches of the tall tree.

• A. happily
• B. ranches
• C. few
• D. tree

Correct answer: C

Rationale: Determiners specify the quantity or identity of a noun. "Few" indicates the number of birds.

6. Which part of the heart generates the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The correct answer is D, ventricular muscle cells. The QRS complex on an ECG represents the depolarization of the ventricles. This electrical activity is generated by the spread of impulses through the bundle branches and Purkinje fibers to the ventricular muscle cells. The SA node (option A) is responsible for initiating the electrical impulse in the heart, but it does not directly generate the QRS complex. The AV node (option B) delays the impulse to allow for proper coordination of atrial and ventricular contractions. The Bundle of His (option C) and its branches facilitate the conduction of the electrical signal from the AV node to the ventricles but do not generate the QRS complex directly.

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