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: Isotopes are variants of a single element that have the same number of protons, the defining characteristic of an element. They differ in the number of neutrons they possess, leading to isotopes having different atomic masses while retaining the same chemical properties. Choice B is incorrect because isotopes have the same number of neutrons and differ in the number of protons. Choice C is incorrect because isotopes have different masses due to varying numbers of neutrons, not different atomic numbers. Choice D is incorrect as isotopes do differ in the number of neutrons they possess.

2. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath.
• D. Numbness or tingling in the extremities.

Correct answer: B

Rationale: Chest pain or discomfort is the most common symptom of angina pectoris. This pain is often described as squeezing, pressure, heaviness, tightness, or pain in the chest. Fever and chills, sudden onset of severe shortness of breath, and numbness or tingling in the extremities are not typical symptoms of angina pectoris. The pain associated with angina is usually triggered by physical or emotional stress and typically subsides with rest or medication, distinguishing it from other conditions.

3. What does the P-wave in an ECG correspond to?

• A. Atrial repolarization
• B. Depolarization of SA node
• C. Ventricular depolarization
• D. Ventricular repolarization

Correct answer: B

Rationale: The P-wave in an ECG represents the depolarization of the SA node and the atria, not atrial repolarization. Choice C, ventricular depolarization, is incorrect because the P-wave does not correspond to ventricular activity. Choice D, ventricular repolarization, is also incorrect as the P-wave does not depict ventricular repolarization. The correct interpretation is that the P-wave signifies the initiation of the electrical impulse at the SA node and subsequent atrial depolarization, making option B the correct answer.

4. Smooth muscle is the only ____________ muscle in the body.

• A. Voluntary, striated
• B. Involuntary, non-striated
• C. Involuntary, striated
• D. Voluntary, non-striated

Correct answer: B

Rationale: Smooth muscle is the only involuntary, non-striated muscle type in the body. It is found in organs like the intestines and blood vessels, where it controls movements without conscious effort. Choice A is incorrect because voluntary muscles are under conscious control, while smooth muscle is involuntary. Choice C is incorrect because striations are not present in smooth muscle, unlike skeletal muscle. Choice D is incorrect because smooth muscle is not voluntary and lacks striations, making it different from skeletal muscle.

5. Which of the following factors can contribute to erectile dysfunction in males?

• A. Diabetes
• B. Cardiovascular disease
• C. Neurological disorders
• D. All of the above

Correct answer: D

Rationale: Erectile dysfunction can be caused by various factors, including diabetes, cardiovascular disease, and neurological disorders. These conditions can impact blood flow, nerve function, and hormone levels, all crucial for achieving and maintaining an erection. Diabetes can lead to nerve damage and affect blood circulation. Cardiovascular disease can restrict blood flow to the penis. Neurological disorders can interfere with the transmission of nerve signals between the brain and the reproductive organs. Therefore, all the factors mentioned in options A, B, and C can contribute to erectile dysfunction in males.

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