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. What is the primary function of the cell membrane?

• A. To provide structural support for the cell
• B. To transport substances in and out of the cell
• C. To synthesize proteins and lipids
• D. To store genetic material

Correct answer: B

Rationale: The primary function of the cell membrane, also known as the plasma membrane, is to regulate the movement of substances in and out of the cell. It acts as a selectively permeable barrier, allowing specific molecules to pass through while blocking others. This role is crucial for maintaining the internal environment of the cell by enabling essential nutrients to enter and waste products to exit. While the cell membrane provides some structural support for the cell, its main function is substance transport. Protein and lipid synthesis predominantly occur in organelles like the endoplasmic reticulum and Golgi apparatus, and storing genetic material is the nucleus's responsibility. Therefore, choices C (To synthesize proteins and lipids) and D (To store genetic material) are incorrect as these functions are carried out by other cell organelles, not the cell membrane.

3. What type of chemical bond connects the oxygen and hydrogen atoms in a molecule of water?

• A. Static bond
• B. Aquatic bond
• C. Ionic bond
• D. Covalent bond

Correct answer: D

Rationale: The correct answer is D, Covalent bond. Covalent bonds are formed between oxygen and hydrogen atoms in a water molecule. In a water molecule, each hydrogen atom forms a covalent bond with the oxygen atom, sharing electrons to achieve a stable configuration. Static bond (choice A) and Aquatic bond (choice B) are not valid types of chemical bonds. Ionic bond (choice C) involves the transfer of electrons between atoms of different electronegativities, which is not the case between oxygen and hydrogen in a water molecule.

4. Which valve prevents the return of blood into the right ventricle?

• A. Pulmonary semilunar valve
• B. Aortic semilunar valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: A

Rationale: The correct answer is A: Pulmonary semilunar valve. The pulmonary semilunar valve is located between the right ventricle and the pulmonary artery. It opens to allow blood to be pumped into the pulmonary artery but closes to prevent blood from returning back into the right ventricle. The aortic semilunar valve is located between the left ventricle and the aorta. The tricuspid valve is located between the right atrium and right ventricle, and the mitral valve is located between the left atrium and left ventricle. Therefore, the pulmonary semilunar valve is the specific valve responsible for preventing the backflow of blood into the right ventricle during the cardiac cycle.

5. What happens to the density of a gas when its temperature increases at constant pressure?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Information is insufficient.

Correct answer: B

Rationale: When the temperature of a gas increases at constant pressure, the average kinetic energy of the gas molecules increases. This leads to the gas molecules moving faster and spreading out more, which causes them to occupy a larger volume. As a result, the density of the gas decreases because the same number of gas molecules are now distributed over a larger space. Choice A is incorrect because as the gas molecules spread out, the density decreases. Choice C is incorrect because the increase in temperature leads to a decrease in density due to the increased volume occupied by the gas molecules. Choice D is incorrect because with the provided scenario of temperature increase at constant pressure, the effect on density can be determined.

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