Nursing Elites

1. 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.

2. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

3. Which of the following substances is NOT typically found in healthy urine?

• A. Urea
• B. Glucose
• C. Creatinine
• D. Electrolytes

Correct answer: B

Rationale: Glucose is not typically found in healthy urine because the kidneys usually filter glucose from the blood and reabsorb it back into the bloodstream. The presence of glucose in urine, known as glucosuria, is usually indicative of diabetes or other medical conditions affecting glucose regulation. On the other hand, urea, creatinine, and electrolytes are commonly present in healthy urine as byproducts of metabolism and electrolyte balance. Urea is a waste product of protein metabolism, creatinine is a waste product of muscle metabolism, and electrolytes are essential for various physiological functions in the body. Therefore, choices A, C, and D are typically found in healthy urine, making them incorrect answers.

4. Which of the following is an example of an aromatic compound?

• A. Ethanol
• B. Toluene
• C. Acetone
• D. Butanal

Correct answer: B

Rationale: Toluene is an aromatic compound due to its benzene ring structure, which satisfies the criteria of aromaticity. Aromatic compounds contain conjugated pi electrons in a ring structure, providing extra stability. Ethanol, acetone, and butanal are not aromatic compounds as they do not possess a benzene ring or meet the aromaticity criteria. Ethanol is an alcohol, acetone is a ketone, and butanal is an aldehyde, none of which have the characteristic benzene ring structure of aromatic compounds.

5. What is the term used to describe the inability of the kidneys to effectively filter waste products from the blood?

• A. Dehydration
• B. Kidney failure
• C. Incontinence
• D. Nephritis

Correct answer: B

Rationale: Kidney failure is the term used to describe the inability of the kidneys to effectively filter waste products from the blood. Dehydration refers to insufficient fluid intake and not the kidney's filtering function. Incontinence is the loss of bladder control, not related to kidney filtration. Nephritis is the inflammation of the kidneys, not specifically related to the kidneys' inability to filter waste products.

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