Nursing Elites

1. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

2. Which condition involves an overactive immune system attacking healthy tissues, leading to inflammation and damage?

• A. Immunodeficiency
• B. Autoimmune disease
• C. Allergy
• D. Cancer

Correct answer: B

Rationale: Autoimmune diseases occur when the immune system mistakenly targets and attacks healthy tissues in the body, leading to inflammation and damage. This is different from immunodeficiency, where the immune system is weakened and unable to effectively protect the body against infections. Allergies involve an exaggerated immune response to harmless substances, while cancer is characterized by uncontrolled cell growth. Therefore, the correct answer is autoimmune disease (Choice B) as it specifically describes the scenario of an overactive immune system attacking healthy tissues, distinguishing it from the other conditions listed.

3. Which element is used in fluorescent lamps and emits ultraviolet light when excited?

• A. Mercury
• B. Neon
• C. Argon
• D. Krypton

Correct answer: A

Rationale: Mercury is the correct element used in fluorescent lamps to emit ultraviolet light when excited. When an electric current passes through the mercury vapor inside the lamp, it generates ultraviolet (UV) light. This UV light then excites the phosphors coated on the inner surface of the lamp, causing them to emit visible light. Neon, argon, and krypton are not commonly used in fluorescent lamps for this purpose. Neon is primarily used in neon signs, argon is used in incandescent and fluorescent bulbs for inertia gas, and krypton is mainly used in certain types of specialized light bulbs for its specific properties.

4. What is the name of the growth plates in children's bones where new bone tissue is formed?

• A. Epiphyses
• B. Diaphysis
• C. Periosteum
• D. Medullary cavity

Correct answer: A

Rationale: The correct answer is A: Epiphyses. Epiphyses are cartilaginous areas found at the ends of long bones, enabling growth and bone lengthening during childhood and adolescence. The diaphysis refers to the main shaft of a long bone. The periosteum is the outer bone layer responsible for nourishment and aiding in bone repair. The medullary cavity is the central cavity within the diaphysis that contains bone marrow but is not involved in new bone tissue formation.

5. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The main target organ for insulin is muscles. Insulin plays a crucial role in regulating glucose metabolism by promoting the uptake of glucose into muscle cells. This glucose can then be utilized for energy production or stored for later use. Therefore, muscles are the primary site where insulin exerts its effects on glucose uptake and utilization. The liver primarily responds to insulin by regulating glucose storage and release, but the main target for insulin-mediated glucose uptake is muscles. Kidneys are not a target organ for insulin action in glucose metabolism. The brain does not heavily rely on insulin for glucose uptake as it primarily uses glucose independently of insulin for energy production.

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