Nursing Elites

1. In a chemical reaction, the total amount of:

• A. Matter remains the same
• B. Matter increases
• C. Matter decreases
• D. Energy remains the same

Correct answer: A

Rationale: The Law of Conservation of Mass states that matter cannot be created or destroyed in a chemical reaction, only rearranged. This principle implies that the total amount of matter before and after a chemical reaction must remain constant, supporting the correct answer choice A. Choice B is incorrect because the total amount of matter does not increase in a chemical reaction; it is conserved. Choice C is incorrect as the total amount of matter does not decrease in a chemical reaction; it is conserved. Choice D is incorrect since the conservation of energy is a different principle and does not directly relate to the total amount of matter in a chemical reaction.

2. What are the tiny contractile units within muscle cells called?

• A. Myocytes
• B. Myofibrils
• C. Sarcomeres
• D. Tendons

Correct answer: C

Rationale: Sarcomeres are the smallest contractile units within muscle cells. They consist of overlapping filaments of actin and myosin proteins, which interact to produce muscle contractions. Myocytes are the entire muscle cells, myofibrils are bundles of protein filaments found within muscle cells, and tendons are tough connective tissues that connect muscles to bones. Therefore, sarcomeres specifically represent the contractile units responsible for muscle contraction, making them the correct answer in this context.

3. Which statement accurately describes the periodic trends in atomic radius?

• A. Increases down a group and decreases across a period
• B. Decreases down a group and increases across a period
• C. Remains constant throughout the table
• D. Fluctuates unpredictably based on individual elements

Correct answer: A

Rationale: The correct statement is that atomic radius increases down a group and decreases across a period. When moving down a group, additional electron shells increase the distance from the nucleus, leading to larger atomic radii. On the other hand, when moving across a period, the number of electron shells remains constant, but the increasing nuclear charge pulls electrons closer, resulting in smaller radii. Choice B is incorrect because atomic radius does not decrease down a group and increase across a period. Choice C is incorrect because atomic radius does not remain constant; it exhibits specific trends. Choice D is incorrect because atomic radius follows predictable trends based on the periodic table structure, rather than fluctuating unpredictably.

4. Which hormone stimulates the release of pancreatic enzymes and bile?

• A. Gastrin
• B. Insulin
• C. Cholecystokinin (CCK)
• D. Glucagon

Correct answer: C

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone that stimulates the release of pancreatic enzymes and bile. CCK is released by the small intestine in response to the presence of fats and proteins in the duodenum, triggering the release of digestive enzymes and bile to aid in the digestion of fats and proteins. Gastrin (Choice A) primarily stimulates gastric acid secretion, not the release of pancreatic enzymes and bile. Insulin (Choice B) regulates blood sugar levels by promoting glucose uptake. Glucagon (Choice D) raises blood glucose levels by stimulating the breakdown of glycogen in the liver.

5. Which valves are part of the heart?

• A. Tricuspid, mitral, pulmonary, aortic
• B. Aortic, pulmonary, mitral, tricuspid
• C. Aortic, pulmonary, Erb's point, tricuspid
• D. Aortic, pulmonic, Erb's point, tricuspid

Correct answer: B

Rationale: The correct valves of the heart are the aortic, pulmonic, tricuspid, and mitral (bicuspid) valves. Choice B correctly lists the aortic, pulmonary, mitral, and tricuspid valves. Erb's point is not a valve but rather an auscultation point on the chest, making choices C and D incorrect.

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