Nursing Elites

1. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

2. Which of the following is NOT a function of the forebrain?

• A. To regulate blood pressure and heart rate
• B. To perceive and interpret emotional responses like fear and anger
• C. To perceive and interpret visual input from the eyes
• D. To integrate voluntary movement

Correct answer: A

Rationale: The correct answer is A. The forebrain is primarily responsible for higher cognitive functions such as perception, interpretation, and integration of sensory information, emotional responses, and voluntary movements. Functions like regulating blood pressure and heart rate are mainly controlled by various structures in the brainstem, such as the medulla oblongata and the pons. Choices B, C, and D are all functions associated with the forebrain. Choice B relates to the limbic system, which is part of the forebrain responsible for emotional responses. Choice C corresponds to the occipital lobe in the forebrain, involved in processing visual information. Choice D involves the motor cortex and other areas in the forebrain that coordinate voluntary movements.

3. 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.

4. Which part of the brain generates the rhythmic electrical activity responsible for brain waves?

• A. Cerebrum
• B. Thalamus
• C. Hypothalamus
• D. Reticular formation

Correct answer: D

Rationale: The reticular formation is a network of neurons located in the brainstem that plays a crucial role in regulating arousal and consciousness. It generates the rhythmic electrical activity responsible for brain waves, which are measured using electroencephalography (EEG). The cerebrum, thalamus, and hypothalamus do not primarily generate brain waves; they have other specialized functions within the brain. The cerebrum is responsible for higher brain functions such as thinking and voluntary movements. The thalamus acts as a relay station for sensory information. The hypothalamus is involved in various functions such as regulating body temperature, hunger, and hormonal activities.

5. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The main target organ for insulin is muscles. Insulin plays a crucial role in regulating glucose metabolism by promoting the uptake of glucose into muscle cells. This glucose can then be utilized for energy production or stored for later use. Therefore, muscles are the primary site where insulin exerts its effects on glucose uptake and utilization. The liver primarily responds to insulin by regulating glucose storage and release, but the main target for insulin-mediated glucose uptake is muscles. Kidneys are not a target organ for insulin action in glucose metabolism. The brain does not heavily rely on insulin for glucose uptake as it primarily uses glucose independently of insulin for energy production.

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