Nursing Elites

1. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

2. When animals eat, insulin is released from the pancreas, stimulating glucose uptake by the liver. When glucose levels drop, the pancreas reduces insulin release. This is an example of which mechanism for maintaining homeostasis?

• A. Negative feedback.
• B. Positive feedback.
• C. Stress response.
• D. Parasympathetic regulation.

Correct answer: A

Rationale: This mechanism is an example of negative feedback. Negative feedback systems work to counteract changes in the body and maintain a stable internal environment (homeostasis). In this case, the release of insulin in response to high glucose levels is followed by a reduction in insulin release when glucose levels drop. This response helps regulate glucose levels and return them to a normal range, demonstrating the characteristic of negative feedback where the body's response opposes the initial stimulus to maintain equilibrium. Positive feedback would amplify the initial change rather than counteract it, so it is not the correct choice. Stress response and parasympathetic regulation are not directly involved in this glucose regulation process, making them incorrect choices.

3. Which factor most significantly affects the kinetic energy of an object?

• A. The object's mass
• B. The object's velocity
• C. The object's displacement
• D. The object's potential energy

Correct answer: B

Rationale: Kinetic energy is directly proportional to the square of an object's velocity. This means that changes in velocity have a greater impact on the kinetic energy of an object compared to changes in mass, displacement, or potential energy. The mass of an object affects its kinetic energy, but the effect is linear, not squared like velocity. Displacement does not directly affect kinetic energy, as it is a measure of the change in position, not related to motion. Potential energy is a different form of energy and is not directly related to the kinetic energy of an object. Therefore, the velocity of an object has the most significant effect on its kinetic energy.

4. What is the main function of vacuoles in plant cells?

• A. To provide structural support for the cell
• B. To transport substances in and out of the cell
• C. To synthesize proteins and lipids
• D. To store water, enzymes, and waste products

Correct answer: D

Rationale: Vacuoles in plant cells primarily function as storage organelles. They store water, enzymes, pigments, and waste products, helping to maintain turgor pressure within the cell. This turgor pressure provides structural support for the plant cell. While vacuoles can also participate in transporting substances within the cell, their main role is storage. The synthesis of proteins and lipids is mainly handled by other organelles such as the endoplasmic reticulum and Golgi apparatus. Choice A is incorrect because while vacuoles indirectly contribute to structural support by maintaining turgor pressure, their primary function is storage. Choice B is incorrect as vacuoles are not primarily responsible for transporting substances in and out of the cell. Choice C is incorrect as vacuoles do not synthesize proteins and lipids; this function is carried out by other organelles.

5. 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.

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