Nursing Elites

1. What happens to the internal energy of a system when it performs work on its surroundings?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Insufficient information.

Correct answer: B

Rationale: When a system performs work on its surroundings, it loses energy in the form of work done. This results in a decrease in the internal energy of the system. Work done by the system is considered as negative work, leading to a decrease in internal energy. Therefore, the correct answer is that the internal energy decreases when a system performs work on its surroundings. Choice A is incorrect as the internal energy decreases, not increases. Choice C is incorrect because the internal energy changes due to the work done. Choice D is incorrect because the information provided is sufficient to determine the change in internal energy.

2. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases carbon dioxide-rich air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: A

Rationale: Exhalation (expiration) involves active muscle contraction, specifically the diaphragm and intercostal muscles, to decrease the volume of the thoracic cavity and push air out of the lungs. In contrast, inhalation (inspiration) is a passive process where the diaphragm and external intercostal muscles contract to increase the thoracic cavity volume, allowing air to flow into the lungs. Choice B is incorrect as exhalation removes carbon dioxide-rich air and inhalation brings in oxygen-rich air. Choice C is incorrect because both exhalation and inhalation can occur through the nose or mouth. Choice D is inaccurate as inhalation humidifies and warms the air, while exhalation cools and dries it.

3. Which of the following factors would NOT affect the solubility of a solid solute in a liquid solvent?

• A. Temperature
• B. Pressure
• C. Particle size
• D. Nature of the solute and solvent

Correct answer: B

Rationale: Pressure does not typically affect the solubility of a solid solute in a liquid solvent. Solubility is primarily influenced by factors such as temperature, particle size, and the nature of the solute and solvent. Increasing pressure generally has a minimal effect on the solubility of solids in liquids. The impact of pressure on solubility is more significant for gases in liquids rather than solids in liquids. Therefore, option B is the correct answer. Options A, C, and D directly impact the solubility of a solid solute in a liquid solvent. Temperature affects the solubility as it changes the kinetic energy of particles, particle size can impact the surface area available for interaction between solute and solvent, and the nature of the solute and solvent influences their intermolecular interactions and compatibility.

4. Which of the following functions would be most affected by laryngeal damage?

• A. Blinking
• B. Walking
• C. Singing
• D. Hearing

Correct answer: C

Rationale: Laryngeal damage would most affect the function of singing. The larynx, or voice box, houses the vocal cords responsible for producing sound during singing. Damage to the larynx can impair the ability to phonate and control pitch, tone, and quality of the voice, which are crucial for singing. Choices A, B, and D are unrelated to the larynx. Blinking is controlled by the facial nerve, walking involves motor functions and coordination, and hearing is related to the ear structures and auditory nerves.

5. What are the three layers of the heart?

• A. Endocardium, myocardium, epicardium
• B. Pericardium, endocardium, myocardium
• C. Epicardium, myocardium, endocardium
• D. Pericardium, myocardium, endocardium

Correct answer: C

Rationale: The correct answer is C: Epicardium, myocardium, endocardium. The heart wall consists of three layers: the outer layer is the epicardium, the middle muscular layer is the myocardium, and the inner layer is the endocardium. Understanding the layers of the heart is essential for comprehending its structure and function. Choices A, B, and D are incorrect because they do not present the layers of the heart in the correct order. The pericardium is the outermost layer that surrounds the heart, but it is not part of the heart wall itself. Therefore, choices B and D are incorrect. Choice A is incorrect as it presents the layers in the wrong order, starting with the endocardium instead of the epicardium, which is the outermost layer.

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