Nursing Elites

1. How will mildly elevated levels of thyroxine affect the heart rate?

• A. Stop the heart rate
• B. No effect
• C. Decrease the heart rate
• D. Increase the heart rate

Correct answer: D

Rationale: Mildly elevated levels of thyroxine will increase the heart rate. Thyroxine, a hormone produced by the thyroid gland, regulates metabolism. Elevated thyroxine levels can lead to increased metabolism, resulting in an elevated heart rate. Choice A is incorrect as mildly elevated thyroxine levels do not stop the heart rate. Choice B is incorrect because elevated thyroxine levels do have an effect on heart rate. Choice C is incorrect as elevated thyroxine levels typically lead to an increase rather than a decrease in heart rate.

2. Which of the following terms refers to the abnormal sound heard during a stethoscope examination, potentially indicating a heart valve issue?

• A. Tachycardia
• B. Bradycardia
• C. Heart murmur
• D. Arrhythmia

Correct answer: C

Rationale: A heart murmur is an abnormal sound heard during a stethoscope examination of the heart. It can indicate issues with the heart valves, such as stenosis or regurgitation. Tachycardia refers to a fast heart rate, bradycardia refers to a slow heart rate, and arrhythmia refers to an irregular heart rhythm. Therefore, the correct answer is 'Heart murmur,' as it specifically relates to the abnormal sound heard during a stethoscope examination that may signal a heart valve issue.

3. What is the small repeating unit in the contractile apparatus of skeletal muscle?

• A. Myofibril
• B. Actin
• C. Sarcomere
• D. Myosin

Correct answer: C

Rationale: The correct answer is 'Sarcomere.' The sarcomere is the smallest repeating unit within myofibrils and is responsible for muscle contraction in skeletal muscle. It consists of overlapping actin and myosin filaments arranged in a highly organized structure that allows for the sliding of filaments during muscle contraction. 'Myofibril' (choice A) is incorrect because it is a larger structure composed of sarcomeres. 'Actin' (choice B) and 'Myosin' (choice D) are incorrect as they are individual proteins that are components of the sarcomere, not the smallest repeating unit itself.

4. What is the primary factor that determines whether a solute will dissolve in a solvent?

• A. Temperature
• B. Pressure
• C. Molecular structure
• D. Particle size

Correct answer: C

Rationale: The primary factor that determines whether a solute will dissolve in a solvent is the molecular structure. The compatibility of the solute's molecules with the solvent's molecules is crucial for dissolution to occur. While temperature, pressure, and particle size can influence the rate of dissolution, they are not the primary factors determining solubility. Molecular structure plays a key role in determining if a solute will form favorable interactions with the solvent, which is essential for dissolution to take place effectively. Temperature can affect solubility by changing the kinetic energy of molecules, pressure typically has a minor effect on solubility except for gases, and particle size influences the rate of dissolution by increasing surface area, but none of these factors are as fundamentally important as molecular structure in determining solubility.

5. What type of joint is found in the shoulder and hip, allowing for a wide range of motion?

• A. Hinge joint
• B. Ball-and-socket joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Ball-and-socket joint. A ball-and-socket joint, like those in the shoulder and hip, allows for a wide range of motion. In a ball-and-socket joint, the rounded end of one bone fits into the cup-like socket of another bone, enabling movement in multiple directions. Choice A, Hinge joint, is incorrect because hinge joints allow movement only in one plane, like a door hinge. Choice C, Pivot joint, is incorrect as it allows rotational movement around a single axis, not the wide range of motion seen in the shoulder and hip. Choice D, Saddle joint, is also incorrect as it allows movement in multiple directions but to a lesser extent compared to the ball-and-socket joint.

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