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. What is the purpose of the italics used for several of the words identified in the sentence above?

• A. to indicate a full-length published book
• B. to indicate a work of classic literature
• C. to indicate recommended summer reading
• D. to indicate books that Angela completed

Correct answer: D

Rationale: The purpose of the italics used for several words in the sentence is to indicate books that Angela completed during the summer. The italics are used for titles of books or literary works, showing emphasis or highlighting specific titles. In the provided extract, titles like 'The Great Gatsby,' 'Brave New World,' and 'A Passage to India' are italicized, indicating completed readings. Choice A is incorrect as it does not accurately reflect the purpose of italics in this context. Choice B is incorrect because the use of italics does not specifically indicate classic literature. Choice C is also incorrect as the italics are not related to recommendations but rather completion of reading.

3. Which part of the brain controls breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Thalamus
• D. Cerebellum

Correct answer: B

Rationale: The medulla oblongata is the correct answer because it is responsible for controlling involuntary functions such as breathing and heart rate. The cerebrum (Choice A) is primarily associated with higher brain functions like thinking and voluntary movements, not with regulating basic bodily functions like breathing and heart rate. The thalamus (Choice C) serves as a relay station for sensory information but is not directly involved in controlling breathing and heart rate. The cerebellum (Choice D) plays a role in coordination and balance, not in regulating respiratory and cardiac functions.

4. Which of the following is an effect of high blood pressure?

• A. Smoking
• B. Excessive dietary salt
• C. Renal vessel damage
• D. Older age

Correct answer: C

Rationale: The correct answer is C: Renal vessel damage. High blood pressure can lead to damage in blood vessels throughout the body, including the kidneys. When blood vessels in the kidneys are affected, it can impair kidney function and potentially lead to kidney disease. Smoking (Choice A) and excessive dietary salt (Choice B) can contribute to high blood pressure but are not direct effects of high blood pressure itself. Older age (Choice D) is a risk factor for developing high blood pressure but is not a direct effect of high blood pressure.

5. What enzymes do lysosomes contain, leading to their nickname as the cell's 'suicide bags'?

• A. Hydrolytic enzymes
• B. Ligases (bonding enzymes)
• C. Transferases (molecule transfer)
• D. Oxidoreductases (redox reactions)

Correct answer: A

Rationale: Lysosomes are organelles filled with hydrolytic enzymes that break down proteins, nucleic acids, lipids, and carbohydrates. These enzymes aid in digesting cellular waste and foreign substances, hence the term 'suicide bags' due to their involvement in cell degradation and recycling. Ligases are enzymes that catalyze the joining of two large molecules by forming a new chemical bond, not present in lysosomes. Transferases are enzymes that catalyze the transfer of functional groups from one molecule to another, not found in lysosomes. Oxidoreductases are enzymes involved in oxidation-reduction reactions, which are not the primary function of lysosomes.

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