Nursing Elites

1. Edema, characterized by swelling due to fluid buildup, can be a sign of:

• A. Heart failure
• B. Liver disease
• C. Lymphatic system dysfunction
• D. All of the above

Correct answer: D

Rationale: Edema is the swelling caused by fluid retention in the body tissues. It can indicate various underlying conditions. Heart failure can lead to fluid buildup due to the heart's ineffective pumping. Liver disease can cause edema by reducing protein production, leading to fluid leakage into tissues. Dysfunction of the lymphatic system can impair fluid drainage, contributing to edema. Therefore, all of the above conditions can manifest with edema, making the correct answer 'All of the above.' Choices A, B, and C are all valid causes of edema, making them incorrect when considered individually. Selecting 'All of the above' encompasses all the possible causes of edema.

2. An atom has 17 protons, 20 neutrons, and 17 electrons. What is its mass, in amu?

• A. 17
• B. 20
• C. 37
• D. 54

Correct answer: C

Rationale: The atomic mass of an atom is the sum of the protons and neutrons in its nucleus. In this case, the atom has 17 protons and 20 neutrons, totaling 37 particles in the nucleus. Electrons are not considered in the atomic mass calculation as their mass is negligible compared to protons and neutrons. Therefore, the mass of the atom in atomic mass units (amu) is 37.

3. Which neurotransmitter is associated with pleasure, reward, and motivation, and is often implicated in conditions such as addiction?

• A. Acetylcholine
• B. Dopamine
• C. Serotonin
• D. GABA (Gamma-aminobutyric acid)

Correct answer: B

Rationale: Dopamine is the neurotransmitter associated with pleasure, reward, and motivation. It plays a crucial role in the brain's reward system and is often implicated in conditions such as addiction. Acetylcholine is involved in muscle movement and memory, serotonin is linked to mood regulation, and GABA is an inhibitory neurotransmitter that helps reduce neuronal excitability. Therefore, the correct answer is dopamine as it aligns with the neurotransmitter functions related to pleasure, reward, and motivation, distinct from the roles of acetylcholine, serotonin, and GABA.

4. When sodium hydroxide (NaOH) reacts with hydrochloric acid (HCl), the resulting product is:

• A. Hydrogen gas and sodium chloride (NaCl)
• B. Chlorine gas and sodium oxide (Na2O)
• C. Sodium metal (Na) and water (H2O)
• D. No reaction occurs.

Correct answer: A

Rationale: When sodium hydroxide (NaOH) reacts with hydrochloric acid (HCl), a neutralization reaction occurs. The products of this reaction are water (H2O) and a salt, which is sodium chloride (NaCl). The chemical equation for this reaction is: NaOH + HCl -> NaCl + H2O. Choice B is incorrect because chlorine gas and sodium oxide are not the products of this reaction. Choice C is incorrect as sodium metal and water are not the products formed in this neutralization reaction. Choice D is incorrect because a reaction does occur between NaOH and HCl, resulting in the formation of NaCl and H2O. Therefore, the correct answer is A: Hydrogen gas and sodium chloride (NaCl).

5. What happens to the diaphragm during inspiration?

• A. It moves upward
• B. It moves downward
• C. It expands
• D. It contracts and moves downward

Correct answer: D

Rationale: During inspiration, the diaphragm contracts and moves downward. This action increases the volume of the thoracic cavity, which lowers the air pressure inside the lungs, allowing air to flow in. The downward movement and contraction of the diaphragm create the necessary space for the lungs to expand and fill with air. Choice A, 'It moves upward,' is incorrect as the diaphragm moves downward. Choice B, 'It moves downward,' is partially correct but misses the contraction aspect. Choice C, 'It expands,' is incorrect as the diaphragm itself does not expand during inspiration. Therefore, choice D, 'It contracts and moves downward,' is the most accurate description of the diaphragm's action during inspiration.

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