Nursing Elites

1. Which of the following correctly lists the normal blood flow through the heart?

• A. Left ventricle, left atrium, body, right ventricle, right atrium, lungs
• B. Left atrium, left ventricle, lungs, right atrium, right ventricle, body
• C. Right atrium, right ventricle, lungs, left atrium, left ventricle, body
• D. Right ventricle, right atrium, body, left atrium, left ventricle, lungs

Correct answer: B

Rationale: The correct order of normal blood flow through the heart is as follows: from the body, blood flows into the right atrium, then to the right ventricle, followed by the lungs through the pulmonary artery for oxygenation. Oxygenated blood then returns to the heart through the pulmonary veins into the left atrium, then moves into the left ventricle before being pumped out to the body. Choice B correctly depicts this sequential flow of blood through the heart. Choices A, C, and D are incorrect as they do not follow the typical path of blood flow through the heart.

2. What happens during expiration?

• A. The diaphragm contracts and the thoracic cavity expands.
• B. The diaphragm relaxes and the thoracic cavity contracts.
• C. The thoracic cavity expands, increasing pressure.
• D. The diaphragm relaxes and moves upward.

Correct answer: B

Rationale: The correct answer is B. During expiration, the diaphragm relaxes, causing the thoracic cavity to contract. As the thoracic cavity decreases in size, the pressure inside the lungs increases, leading to air flowing out of the lungs. This process helps to expel carbon dioxide-rich air from the body. Choices A, C, and D are incorrect. In choice A, the diaphragm contracting and the thoracic cavity expanding describes inspiration, not expiration. Choice C is incorrect because during expiration, the thoracic cavity actually decreases in size. Choice D is incorrect as the diaphragm moving upward is not a typical movement associated with expiration.

3. Which muscular tube carries urine from the kidneys to the bladder?

• A. Nephron
• B. Ureter
• C. Urethra
• D. Glomerulus

Correct answer: B

Rationale: The correct answer is B: Ureter. The ureter is the muscular tube that carries urine from the kidneys to the bladder. The nephron is the functional unit of the kidney responsible for filtering blood and producing urine. The urethra is the tube that carries urine from the bladder out of the body. The glomerulus is a network of capillaries in the nephron where filtration of blood occurs.

4. How does the respiratory system facilitate gas exchange between air and blood?

• A. Diffusion
• B. Exhalation
• C. Inspiration
• D. Ventilation

Correct answer: A

Rationale: The correct answer is 'Diffusion.' Diffusion is the process by which gases are exchanged between air in the alveoli and blood in the capillaries. Oxygen moves from the alveoli into the blood, while carbon dioxide moves from the blood into the alveoli through diffusion. Exhalation is the process of expelling air from the lungs, inspiration is the process of inhaling air into the lungs, and ventilation refers to the overall movement of air in and out of the lungs. While these processes are essential for the respiratory system to function, they are not directly responsible for the gas exchange between air and blood, which is primarily achieved through diffusion.

5. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

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