Nursing Elites

1. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

2. Which of the following macromolecules will always contain nitrogen?

• A. Fatty acids
• B. Proteins
• C. Lipids
• D. Carbohydrates

Correct answer: B

Rationale: The correct answer is B: Proteins. Proteins are the only macromolecules that always contain nitrogen in their amino acid structure. Nitrogen is a key element found in the amino groups of amino acids, which are the building blocks of proteins. Fatty acids (Choice A), lipids (Choice C), and carbohydrates (Choice D) do not always contain nitrogen in their structure. Fatty acids are composed of long hydrocarbon chains and do not contain nitrogen. Lipids consist mainly of carbon, hydrogen, and oxygen, with some classes of lipids containing phosphorus but not nitrogen. Carbohydrates are made up of carbon, hydrogen, and oxygen, forming structures like sugars and starches, but they do not contain nitrogen.

3. What is the term for a repetitive, involuntary muscle contraction that can cause pain and stiffness?

• A. Cramp
• B. Spasm
• C. Tic
• D. Fibrosis

Correct answer: B

Rationale: A spasm is a repetitive, involuntary muscle contraction that can cause pain and stiffness. While cramps are a type of spasm, not all spasms are cramps. Tics are sudden, repetitive movements or sounds made involuntarily. Fibrosis refers to the formation of excess fibrous connective tissue in an organ or tissue as part of a reparative or reactive process. In this context, a spasm best fits the description provided, making it the correct answer. Cramp, although related to spasms, is more specific and not the general term being sought. Tic does not describe a muscle contraction but rather sudden movements or sounds. Fibrosis does not directly relate to muscle contractions but rather to the formation of excess fibrous tissue in organs or tissues.

4. What type of reaction is represented by the following equation: 2C₆H₁₄ + 19O₂ → 12CO + 14H₂O?

• A. Substitution reaction
• B. Acid-base reaction
• C. Enzyme reaction
• D. Combustion reaction

Correct answer: D

Rationale: The given chemical equation represents a combustion reaction. Combustion reactions involve the burning of a hydrocarbon (C₆H₁₄) in the presence of oxygen (O₂) to produce carbon monoxide (CO) and water (H₂O). Combustion reactions typically release heat and light energy. In this case, the reactants are a hydrocarbon and oxygen, resulting in the formation of carbon monoxide and water. Choices A, B, and C are incorrect because the reaction does not involve substitution, acid-base reactions, or enzyme catalysis. Combustion reactions are characterized by the rapid combination of a substance with oxygen, leading to the production of heat and light energy.

5. What is the primary function of the kidneys?

• A. To digest food
• B. To filter blood and produce urine
• C. To absorb nutrients
• D. To transport oxygen

Correct answer: B

Rationale: The primary function of the kidneys is to filter blood and remove waste products from the body, producing urine in the process. This function helps in maintaining the body's internal environment stable, a process known as homeostasis. Option A, 'To digest food,' is incorrect as digestion primarily occurs in the gastrointestinal system, not in the kidneys. Option C, 'To absorb nutrients,' is also incorrect because nutrient absorption mainly takes place in the intestines. Option D, 'To transport oxygen,' is incorrect as the lungs and circulatory system are responsible for oxygen transport, not the kidneys.

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