Nursing Elites

1. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

2. How can you differentiate between a bacterial and viral infection based solely on symptoms?

• A. It's impossible to differentiate solely based on symptoms.
• B. Bacterial infections typically respond well to antibiotics, while viral infections don't.
• C. Bacterial infections usually cause fever, while viral infections don't.
• D. Viral infections often present with respiratory symptoms like a cough, while bacterial infections don't.

Correct answer: A

Rationale: It is impossible to differentiate between a bacterial and viral infection based solely on symptoms because many symptoms overlap between the two types of infections. Symptoms like fever, cough, and others can be present in both bacterial and viral infections. Additional diagnostic tests such as cultures or blood tests are often needed to determine the cause of the infection accurately. Relying only on symptoms can lead to misdiagnosis and inappropriate treatment. Choices B, C, and D are incorrect because they oversimplify the differentiation process and do not encompass the complexity of symptoms associated with bacterial and viral infections. While it is true that bacterial infections may respond to antibiotics and some differences in symptoms may be observed between bacterial and viral infections, these are not definitive indicators without proper diagnostic tests.

3. Which of the following chambers of the heart receives blood returning from the lungs during pulmonary circulation?

• A. left atrium
• B. right atrium
• C. left ventricle
• D. right ventricle

Correct answer: A

Rationale: The correct answer is A, the left atrium. During pulmonary circulation, oxygenated blood returns from the lungs to the heart and enters the left atrium through the pulmonary veins. The left atrium then contracts, pushing this oxygen-rich blood into the left ventricle. The left ventricle subsequently pumps this oxygenated blood out to the rest of the body through the aorta. Choices B, C, and D are incorrect because the right atrium receives deoxygenated blood from the body, the left ventricle receives oxygenated blood from the left atrium, and the right ventricle pumps deoxygenated blood to the lungs for oxygenation, respectively.

4. How many moles of oxygen are required to completely react with 5 moles of propane (C3H8) in the combustion reaction?

• A. 5 moles
• B. 10 moles
• C. 15 moles
• D. 20 moles

Correct answer: C

Rationale: In the balanced chemical equation for the combustion of propane (C3H8): C3H8 + 5O2 → 3CO2 + 4H2O, 1 mole of propane (C3H8) reacts with 5 moles of oxygen (O2). To determine the moles of oxygen required to react with 5 moles of propane, we use the molar ratio: 5 moles propane x 5 moles oxygen / 1 mole propane = 25 moles oxygen. However, since the question specifically asks for the moles of oxygen needed to react with 5 moles of propane, the correct answer is 15 moles of oxygen. Choice A, 5 moles, is incorrect because this is the amount of propane provided, not the oxygen required. Choice B, 10 moles, is incorrect as it does not correspond to the molar ratio in the balanced equation. Choice D, 20 moles, is incorrect as it is not in line with the stoichiometry of the reaction.

5. What is the endoplasmic reticulum?

• A. A network of tubules that transport proteins and lipids throughout the cell
• B. A sac-like structure that stores water and nutrients
• C. The site of protein synthesis
• D. The site of cellular respiration

Correct answer: A

Rationale: A) The endoplasmic reticulum (ER) is a network of tubules that are involved in the transport of proteins and lipids throughout the cell. It plays a crucial role in protein synthesis, folding, and transport within the cell. The ER can be further divided into rough ER, which has ribosomes attached to its surface and is involved in protein synthesis, and smooth ER, which is involved in lipid metabolism and detoxification. Therefore, option A is the most accurate description of the endoplasmic reticulum compared to the other options provided. B) A sac-like structure that stores water and nutrients does not accurately describe the endoplasmic reticulum. While some organelles like vacuoles or vesicles may store water and nutrients, the ER's primary function is not storage. C) The site of protein synthesis is partially

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