Nursing Elites

1. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

2. What is bile, where is it produced, where is it stored, and what is its function?

• A. Produced in the pancreas, stored in the liver, aids in digestion
• B. Produced in the liver, stored in the gallbladder, aids in fat digestion
• C. Produced in the stomach, stored in the pancreas, neutralizes acid
• D. Produced in the gallbladder, stored in the liver, breaks down proteins

Correct answer: B

Rationale: Bile is a digestive fluid produced in the liver, stored in the gallbladder, and it aids in the digestion of fats by emulsifying them. Emulsification helps to break down fats into smaller particles, facilitating their digestion by enzymes in the small intestine. Choice A is incorrect because bile is not produced in the pancreas, and it is not stored in the liver. Choice C is incorrect as bile is not produced in the stomach, and it does not neutralize acid. Choice D is also incorrect as bile is not produced in the gallbladder, and its primary function is not to break down proteins.

3. Which organ of the body compensates when a person's intake of vitamins decreases?

• A. Appendix
• B. Liver
• C. Pancreas
• D. Stomach

Correct answer: B

Rationale: The liver is the organ that compensates when a person's intake of vitamins decreases. It stores certain vitamins, such as vitamins A, D, E, K, and B12, and releases them when dietary intake decreases. This helps maintain the body's vitamin levels and functions. The other organs listed - Appendix, Pancreas, and Stomach - do not primarily play a role in compensating for a decrease in vitamin intake. The liver is crucial in maintaining vitamin balance, making it the correct choice in this context.

4. Which layer of the skin is responsible for new skin cell production?

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B, Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis and is responsible for new skin cell production through cell division. It contains basal cells that continuously divide to produce new keratinocytes, which move up through the layers of the epidermis. Choice A, Stratum corneum, is the outermost layer of the epidermis consisting of dead cells filled with keratin. It serves a protective function but is not involved in new skin cell production. Choice C, Stratum granulosum, is a layer of the epidermis where keratinocytes undergo changes in their structure and composition. It is involved in the process of keratinization but not in new skin cell production. Choice D, Stratum spinosum, is a layer of the epidermis where cells become interconnected by desmosomes. While it plays a role in providing strength and support to the epidermis, it is not primarily responsible for new skin cell production.

5. During antibiotic use, bacteria can evolve resistance. This is an example of:

• A. Coevolution (two species influencing each other's evolution)
• B. Convergent evolution (unrelated organisms evolving similar traits)
• C. Macroevolution (large-scale evolutionary change)
• D. Artificial selection acting on a natural process

Correct answer: D

Rationale: The process of bacteria evolving resistance to antibiotics due to the selective pressure exerted by the antibiotics is an example of artificial selection (human intervention selecting for certain traits) acting on a natural process (bacterial evolution). Antibiotic use creates a selective pressure that favors the survival and reproduction of bacteria with resistance traits, leading to the evolution of antibiotic-resistant strains. - Coevolution (option A) refers to the influence of two species on each other's evolution, which is not the case in the scenario described in the question. - Convergent evolution (option B) involves unrelated organisms evolving similar traits due to similar environmental pressures, which is not directly applicable to the situation of bacteria evolving resistance to antibiotics. - Macroevolution (option C) refers to large-scale evolutionary changes over long periods, which is not specifically demonstrated in the context of bacteria evolving resistance during antibiotic use.

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