Nursing Elites

1. Which of the following is the cardiac muscle layer that forms the bulk of the heart?

• A. Endocardium
• B. Epicardium
• C. Fibrous skeleton
• D. Myocardium

Correct answer: D

Rationale: The correct answer is D, Myocardium. The myocardium is the cardiac muscle layer that comprises the majority of the heart's muscle mass. It is responsible for the heart's contractions, allowing it to pump blood throughout the body. The endocardium is the innermost layer of the heart lining the chambers, while the epicardium is the outermost layer covering the heart. The fibrous skeleton provides structural support and serves as an attachment point for cardiac muscle fibers. Therefore, choices A, B, and C are incorrect as they do not represent the primary muscle layer of the heart.

2. Which of the following is a MAJOR consequence of a stroke?

• A. Irregular heart rhythm.
• B. Rapid weight gain or loss.
• C. Brain damage due to interrupted blood flow.
• D. Chronic fatigue and muscle weakness.

Correct answer: C

Rationale: A major consequence of a stroke is brain damage due to interrupted blood flow. Strokes occur when blood flow to the brain is blocked or reduced, leading to the death of brain cells. This interruption in blood flow results in brain damage, which can cause physical and cognitive impairments such as paralysis, speech difficulties, memory problems, and sensory disturbances. The severity and location of the stroke determine the extent of the consequences experienced by the individual. Choices A, B, and D are incorrect. Irregular heart rhythm is not a direct consequence of a stroke but may occur as a complication. Rapid weight gain or loss and chronic fatigue with muscle weakness are not typically considered major consequences of a stroke, which primarily affects the brain due to interrupted blood flow.

3. Which two types of elements are most likely to form an ionic bond?

• A. Two elements that are in the same period.
• B. Two elements that are non-metals and have p orbitals.
• C. One element that is a transition metal with d orbitals and one element that is a metal with s orbitals.
• D. One element that is a metal with s orbitals and one element that is a nonmetal with p orbitals.

Correct answer: D

Rationale: Ionic bonds typically form between a metal, which donates electrons from its s orbital, and a nonmetal, which accepts electrons into its p orbital. This transfer of electrons leads to the formation of an ionic bond. Choice A is incorrect as elements in the same period may vary significantly in their properties. Choice B is incorrect because ionic bonds are usually formed between a metal and a nonmetal, not two nonmetals. Choice C is incorrect because transition metals generally form complex ions through the sharing of electrons, not typical ionic bonds.

4. Which of the following terms refers to the ability to detect and respond to changes in the internal and external environment?

• A. Growth
• B. Responsiveness
• C. Reproduction
• D. Development

Correct answer: B

Rationale: Responsiveness is the correct term that refers to the ability to detect and respond to changes in the internal and external environment. In this context, growth is incorrect as it pertains to an increase in size or number, reproduction involves producing offspring, and development refers to the process of growth, maturation, and differentiation of cells and tissues. Therefore, 'Responsiveness' is the most appropriate term for the given description.

5. Which muscular pouch in the upper left abdomen stores food after swallowing and begins mechanical and chemical digestion?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: B

Rationale: The correct answer is B: Stomach. The stomach is the muscular pouch in the upper left abdomen that stores food after swallowing and begins mechanical and chemical digestion. It secretes gastric juices containing enzymes and hydrochloric acid to break down food particles. The esophagus is a muscular tube that carries food from the mouth to the stomach, while the small intestine and large intestine are primarily involved in the absorption of nutrients and water, respectively. Therefore, the stomach is the organ responsible for the described functions, making it the correct answer in this context.

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