Nursing Elites

1. 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.

2. What is the main function of the urinary system?

• A. Transporting oxygen
• B. Fighting off infections
• C. Maintaining acid-base balance
• D. All of the above

Correct answer: C

Rationale: The main function of the urinary system is to maintain the body's acid-base balance. This is achieved by regulating the levels of electrolytes and water in the body. The kidneys filter waste products from the blood to form urine, which helps to regulate the pH balance. Choice A, transporting oxygen, is primarily the function of the respiratory system. Choice B, fighting off infections, is a function of the immune system. Therefore, the correct answer is maintaining acid-base balance.

3. How many neutrons and electrons could a negative ion of sulfur have?

• A. 16 neutrons, 16 electrons
• B. 16 neutrons, 17 electrons
• C. 17 neutrons, 16 electrons
• D. 17 neutrons, 17 electrons

Correct answer: B

Rationale: A negative ion of sulfur would have 16 protons and 17 electrons since it gains one electron. The number of neutrons in an ion does not change, so the neutrons would remain at 16. Therefore, the correct answer is 16 neutrons and 17 electrons, which corresponds to choice B. Choice A is incorrect as it does not account for the extra electron gained by the negative ion. Choices C and D are incorrect because they propose a change in the number of neutrons, which is not affected by the ionization process.

4. 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.

5. During vigorous exercise, why does the respiratory rate increase?

• A. Meet the increased demand for oxygen in working muscles
• B. Eliminate excess carbon dioxide more slowly
• C. Conserve energy for physical activity
• D. Decrease the amount of oxygen delivered to the body

Correct answer: A

Rationale: During vigorous exercise, the muscles require more oxygen to produce energy for physical activity. The increased respiratory rate helps to deliver more oxygen to the working muscles to meet this demand. This process is essential for sustaining physical activity and preventing fatigue. Choice A is the correct answer as it accurately describes the purpose of the increased respiratory rate during vigorous exercise. Choices B, C, and D are incorrect. Choice B, 'Eliminate excess carbon dioxide more slowly,' is inaccurate as the primary reason for the increased respiratory rate during exercise is to meet the increased demand for oxygen, not to eliminate carbon dioxide. Choice C, 'Conserve energy for physical activity,' is incorrect because increasing the respiratory rate actually expends energy to meet the oxygen demand of the working muscles. Choice D, 'Decrease the amount of oxygen delivered to the body,' is incorrect as the increased respiratory rate is specifically to deliver more oxygen to the body during exercise.

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