Nursing Elites

1. What property of a substance remains constant regardless of changes in its shape or size?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in its shape or size. Weight, density, and volume can all change depending on the conditions, but mass remains the same. For example, if you have a piece of clay and you shape it into a ball or flatten it into a pancake, the amount of clay (mass) will remain the same, even though the shape and size have changed. Weight is the force acting on an object due to gravity, which can vary depending on the gravitational pull. Density is the mass per unit volume, so it changes with variations in volume. Volume is the amount of space occupied by an object, which can change if the shape or size of the object is altered.

2. Which of the following organs is responsible for producing digestive enzymes?

• A. Liver
• B. Pancreas
• C. Gallbladder
• D. Esophagus

Correct answer: B

Rationale: The correct answer is the Pancreas. The pancreas is an organ that produces digestive enzymes to aid in the breakdown of food in the small intestine. These enzymes play a crucial role in the digestion and absorption of nutrients from the food we eat. The liver is responsible for producing bile, not digestive enzymes. The gallbladder stores and concentrates bile produced by the liver, which aids in the digestion of fats. The esophagus is a muscular tube that helps in the movement of food from the mouth to the stomach and does not produce digestive enzymes.

3. What is the 'lock-and-key' model?

• A. Protein folding
• B. Enzyme-substrate interaction
• C. Muscle contraction
• D. Blood clotting

Correct answer: B

Rationale: The 'lock-and-key' model describes the specificity of the interaction between enzymes and their substrates. In this model, the enzyme's active site acts like a lock that can only be opened by the specific substrate molecule, which serves as the key. This specific binding ensures that enzymes catalyze particular reactions and do not interact with other molecules indiscriminately. Protein folding (option A) is the process by which a protein attains its functional three-dimensional structure but is not directly related to the lock-and-key model. Muscle contraction (option C) and blood clotting (option D) are complex biological processes but are not directly associated with the lock-and-key model of enzyme-substrate interaction.

4. What happens during expiration?

• A. The diaphragm contracts and the thoracic cavity expands.
• B. The diaphragm relaxes and the thoracic cavity contracts.
• C. The thoracic cavity expands, increasing pressure.
• D. The diaphragm relaxes and moves upward.

Correct answer: B

Rationale: The correct answer is B. During expiration, the diaphragm relaxes, causing the thoracic cavity to contract. As the thoracic cavity decreases in size, the pressure inside the lungs increases, leading to air flowing out of the lungs. This process helps to expel carbon dioxide-rich air from the body. Choices A, C, and D are incorrect. In choice A, the diaphragm contracting and the thoracic cavity expanding describes inspiration, not expiration. Choice C is incorrect because during expiration, the thoracic cavity actually decreases in size. Choice D is incorrect as the diaphragm moving upward is not a typical movement associated with expiration.

5. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

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