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. According to the Cahn-Ingold-Prelog (CIP) ranking system, which functional group has the highest priority?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: In the Cahn-Ingold-Prelog (CIP) ranking system, functional groups are prioritized based on the atomic number of the atoms directly attached to the functional group. Carboxylic acid (COOH) holds the highest priority as the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers compared to carbon, hydrogen, or nitrogen. The higher the atomic number of the attached atoms, the higher the priority of the functional group in the CIP ranking system. Therefore, choices A, B, and D are incorrect as they have lower atomic numbers in the atoms directly attached to them, making them lower in priority according to the CIP system.

3. Which type of cells make up the myelin sheaths?

• A. Glial cells.
• B. Dendrites.
• C. Melanocytes.
• D. Squamous cells.

Correct answer: A

Rationale: The correct answer is A: Glial cells. Glial cells are responsible for producing the myelin sheaths that surround and insulate nerve cells in the central and peripheral nervous systems. Schwann cells in the peripheral nervous system and oligodendrocytes in the central nervous system are types of glial cells that form the myelin sheaths. Choice B, dendrites, are not involved in forming myelin sheaths; they are extensions of neurons that receive signals. Choice C, melanocytes, are cells responsible for producing melanin, not myelin. Choice D, squamous cells, are flat epithelial cells found in various tissues but are not involved in myelin sheath formation.

4. The patella, commonly known as the kneecap, is an example of a:

• A. Sesamoid bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The patella, also known as the kneecap, is an example of a sesamoid bone. Sesamoid bones develop within tendons, such as the patellar tendon in this case. The patella is embedded in the tendon of the quadriceps muscle, enhancing the mechanical advantage of the muscle and protecting the knee joint. Long bones, like the femur, are characterized by their elongated shape with growth plates at the ends. Short bones, such as those in the wrist and ankle, are cube-shaped bones. Irregular bones, like vertebrae, do not fit into the other bone shape categories due to their unique shapes and functions.

5. What type of bond is present in salt?

• A. Ionic
• B. Nonpolar covalent
• C. Polar covalent
• D. Peptide

Correct answer: A

Rationale: The correct answer is 'Ionic.' Ionic bonds are formed in salts through the transfer of electrons between atoms, leading to the attraction between positively and negatively charged ions. This results in a stable ionic compound, such as common table salt (sodium chloride). Nonpolar covalent, polar covalent, and peptide bonds are not typically found in salts. Nonpolar covalent bonds involve the equal sharing of electrons, polar covalent bonds involve unequal sharing of electrons, and peptide bonds are specific to proteins, not salts.

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