Nursing Elites

1. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath.
• D. Numbness or tingling in the extremities.

Correct answer: B

Rationale: Chest pain or discomfort is the most common symptom of angina pectoris. This pain is often described as squeezing, pressure, heaviness, tightness, or pain in the chest. Fever and chills, sudden onset of severe shortness of breath, and numbness or tingling in the extremities are not typical symptoms of angina pectoris. The pain associated with angina is usually triggered by physical or emotional stress and typically subsides with rest or medication, distinguishing it from other conditions.

2. In a balanced chemical equation, the coefficients represent the:

• A. Number of elements
• B. Ratio of reactants and products
• C. Physical state of the substances
• D. Rate of the reaction

Correct answer: A

Rationale: The correct answer is A: 'Number of elements.' In a balanced chemical equation, coefficients represent the ratio of moles of each species involved in the reaction. They indicate the relative number of molecules or formula units of each compound taking part in the reaction. Choice B, 'Ratio of reactants and products,' is incorrect because the coefficients in a balanced equation do not represent the ratio of reactants and products directly, but rather the stoichiometry of the reaction. Choice C, 'Physical state of the substances,' is incorrect because the physical states (solid, liquid, gas, or aqueous) are denoted with symbols next to the chemical formula, not the coefficients. Choice D, 'Rate of the reaction,' is incorrect as coefficients in a balanced equation do not provide information about the rate of the reaction, which is determined by factors like temperature, concentration, and catalysts.

3. What is the process of breaking down glucose into pyruvate called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Krebs cycle
• D. Oxidative phosphorylation

Correct answer: A

Rationale: A) Glycolysis is the process of breaking down glucose into pyruvate. This occurs in the cytoplasm of cells and is the first step in cellular respiration. B) Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources, such as amino acids or glycerol, and is the opposite of glycolysis. C) The Krebs cycle, also known as the citric acid cycle, is a series of chemical reactions that occur in the mitochondria and is involved in the oxidation of acetyl-CoA to produce ATP and other energy carriers. D) Oxidative phosphorylation is the final stage of cellular respiration where ATP is produced through the transfer of electrons in the electron transport chain.

4. Why is the electrical conductivity of a strong acid solution higher than that of a weak acid solution?

• A. Strong acids are more concentrated.
• B. Strong acids release more hydrogen ions.
• C. Weak acids are better at dissolving salts.
• D. Strong acids have a lower pH.

Correct answer: B

Rationale: The correct answer is B because strong acids release more hydrogen ions compared to weak acids. This higher concentration of ions in the solution leads to a higher electrical conductivity. Strong acids ionize completely in solution, producing a higher concentration of ions that can conduct electricity, whereas weak acids only partially ionize, resulting in a lower concentration of ions and lower electrical conductivity. Choice A is incorrect because the concentration of the acid does not directly determine its electrical conductivity. Choice C is incorrect as the ability to dissolve salts is not directly related to electrical conductivity. Choice D is incorrect because the pH of the solution, although related to acidity, does not directly determine the electrical conductivity.

5. During exercise, heart rate increases to deliver more oxygen to the body's tissues. What other cardiovascular response also increases?

• A. Blood pressure decreases
• B. Blood vessel diameter narrows
• C. Blood flow to muscles increases
• D. Blood viscosity thickens

Correct answer: C

Rationale: During exercise, the cardiovascular response includes an increase in blood flow to the muscles to deliver more oxygen and nutrients needed for energy production. This helps to support the increased demand for oxygen and nutrients by the working muscles. Blood pressure typically increases during exercise to help facilitate this increased blood flow to the muscles. Additionally, blood vessel diameter may widen (vasodilation) to allow for more blood flow, rather than narrow. Blood viscosity does not typically thicken during exercise.

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