Nursing Elites

1. Which of the following are considered normal values for the measure of a person’s pulse and blood pressure?

• A. 55 beats per minute and 75 over 60 mm Hg
• B. 72 beats per minute and 120 over 80 mm Hg
• C. 100 beats per minute and 140 over 100 mm Hg
• D. 160 beats per minute and 100 over 70 mm Hg

Correct answer: B

Rationale: Normal values for pulse rate typically range between 60 to 100 beats per minute, while normal blood pressure values are usually around 120/80 mm Hg. Option B falls within these normal ranges for both pulse rate and blood pressure, making it the correct choice. Choices A, C, and D have either pulse rate, blood pressure, or both values outside the normal ranges, making them incorrect.

2. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

3. What is the role of enzymes in the body?

• A. To produce energy
• B. To speed up chemical reactions
• C. To transport molecules
• D. To repair tissues

Correct answer: B

Rationale: Enzymes are biological catalysts that facilitate and speed up chemical reactions in the body. They do not produce energy but enable various processes such as digestion and metabolism by lowering the activation energy required for reactions to occur. Choice A is incorrect because enzymes do not produce energy themselves but assist in energy production through reactions. Choice C is incorrect as enzymes do not primarily function in transporting molecules, although some may have a role in specific transport processes. Choice D is incorrect as the primary role of enzymes is not to repair tissues, but rather to catalyze biochemical reactions.

4. Where does primary peristalsis occur?

• A. Esophagus
• B. Stomach
• C. Nervous system
• D. Small intestine

Correct answer: A

Rationale: Primary peristalsis occurs in the esophagus. Peristalsis is the coordinated muscular contractions that propel food through the digestive tract. In the esophagus, primary peristalsis is the involuntary wave-like contractions that push food from the mouth to the stomach. It is the natural and automatic process that occurs to facilitate the movement of food during digestion. The stomach (choice B), nervous system (choice C), and small intestine (choice D) are not the primary sites where peristalsis occurs in the digestive system.

5. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

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