Nursing Elites

1. What is the name for the process where a solid changes directly into a gas?

• A. Evaporation
• B. Sublimation
• C. Condensation
• D. Melting

Correct answer: B

Rationale: Sublimation is the process by which a solid directly transforms into a gas without passing through the liquid phase. This occurs when the atmospheric pressure is lower than the vapor pressure of the solid, causing it to transition to a gas state. Choice A, evaporation, is the process where a liquid changes into a gas, not a solid. Choice C, condensation, is the opposite process where gas changes into a liquid. Choice D, melting, is the process where a solid changes into a liquid, not a gas.

2. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole).
• D. The depolarization of the atria.

Correct answer: D

Rationale: The P wave on an ECG represents the depolarization of the atria. This electrical activity initiates the contraction of the atria, allowing blood to be pumped into the ventricles. The P wave is the first positive deflection seen on the ECG and signifies the beginning of atrial depolarization, which is a critical step in the cardiac cycle. Choices A, B, and C are incorrect. Option A (The repolarization of the ventricles) is represented by the T wave on the ECG. Option B (The electrical conduction through the AV node) is not represented by the P wave but rather by the PR interval on the ECG. Option C (The contraction phase of the ventricles (systole)) is more related to the QRS complex on the ECG, which represents ventricular depolarization and contraction.

3. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

4. Where does gas exchange occur in the human body?

• A. Alveoli
• B. Bronchi
• C. Larynx
• D. Pharynx

Correct answer: A

Rationale: The correct answer is A: Alveoli. Gas exchange occurs in the alveoli, which are tiny air sacs in the lungs. Oxygen from the air we breathe diffuses into the blood vessels surrounding the alveoli, while carbon dioxide from the blood diffuses into the alveoli to be exhaled. The bronchi, larynx, and pharynx are all part of the respiratory system but are not directly involved in gas exchange. The bronchi are airways that lead to the lungs, the larynx is the voice box, and the pharynx is the throat. These structures are important for breathing and vocalization but do not participate in the exchange of gases between the respiratory system and the circulatory system.

5. What are the fluid-filled sacs that cushion the brain within the skull called?

• A. Meninges
• B. Cerebrospinal fluid
• C. Dura mater
• D. Arachnoid mater

Correct answer: B

Rationale: The correct answer is B, cerebrospinal fluid. Cerebrospinal fluid acts as a shock absorber, protecting the brain from impact and providing nutrients to brain cells. Meninges are the three protective layers of tissue that surround the brain and spinal cord. Dura mater and arachnoid mater are specific layers of the meninges, not the fluid-filled sacs that cushion the brain.

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