Nursing Elites

1. Where does gas exchange take place in the respiratory system?

• A. Alveoli
• B. Bronchioles
• C. Bronchi
• D. Trachea

Correct answer: A

Rationale: Gas exchange in the respiratory system occurs in the alveoli, which are tiny air sacs in the lungs. Within the alveoli, oxygen from the inhaled air diffuses into the bloodstream, while carbon dioxide from the blood enters the alveoli to be exhaled. This exchange of gases is essential for the body to obtain oxygen and remove carbon dioxide, supporting vital bodily functions. The bronchioles (choice B), bronchi (choice C), and trachea (choice D) are part of the airway passage system that transports air to and from the alveoli but do not participate in gas exchange. Therefore, the alveoli play a crucial role in the respiratory system by facilitating gas exchange.

2. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

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

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

3. Which of the following is a dense, interconnected mass of nerve cells located outside the central nervous system?

• A. ganglion
• B. dendrite
• C. cranial nerve
• D. pons

Correct answer: A

Rationale: A ganglion is a dense, interconnected mass of nerve cells located outside the central nervous system. Ganglia serve as relay points where nerve cells communicate and integrate signals. They are found along peripheral nerves, processing sensory information and coordinating motor responses. Choice B, dendrite, refers to a part of a neuron that receives signals, not a mass of nerve cells. Choice C, cranial nerve, is a bundle of nerves that emerge from the brain, not a mass of nerve cells. Choice D, pons, is a part of the brainstem, which is within the central nervous system, not located outside of it.

4. Which type of blood vessel carries blood away from the heart?

• A. Vein
• B. Artery
• C. Capillary
• D. Venule

Correct answer: B

Rationale: The correct answer is B: Artery. Arteries carry oxygen-rich blood away from the heart to various parts of the body. Veins, on the other hand, carry blood back to the heart. Capillaries are tiny blood vessels where oxygen and nutrients are exchanged with tissues. Venules are small veins that collect blood from capillaries, not from the heart, making them incorrect in this context.

5. The number of protons in an atom determines its:

• A. Mass number
• B. Atomic number
• C. Atomic weight
• D. Valence electron count

Correct answer: B

Rationale: The number of protons in an atom is known as the atomic number. The atomic number uniquely identifies an element and determines its position on the periodic table. It is a fundamental property of an element and directly influences its chemical behavior and interactions. The mass number, on the other hand, is the sum of protons and neutrons in the nucleus of an atom, not just protons. Atomic weight is the average mass of an element's isotopes considering their relative abundance, not solely based on the number of protons. Valence electron count refers to the number of electrons in the outermost energy level of an atom, influencing its ability to form bonds and participate in chemical reactions, but it is not determined by the number of protons in the atom.

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