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. What is the primary function of the myelin sheath that surrounds some axons in the nervous system?

• A. To initiate nerve impulses
• B. To transmit sensory information
• C. To speed up the transmission of nerve impulses
• D. To connect neurons at synapses

Correct answer: C

Rationale: The primary function of the myelin sheath is to speed up the transmission of nerve impulses. The myelin sheath acts as an insulating layer around the axon, allowing for faster conduction of electrical impulses along the nerve fiber. This insulation prevents the electrical signal from dissipating or 'leaking' out, which helps in the rapid and efficient transmission of nerve impulses along the axon. Choice A is incorrect because the myelin sheath does not initiate nerve impulses; it helps in conducting them. Choice B is incorrect as the myelin sheath's main role is not in transmitting sensory information but rather in facilitating the transmission of nerve impulses. Choice D is incorrect because the myelin sheath's function is not to connect neurons at synapses; instead, it is primarily involved in enhancing the speed of nerve impulse transmission.

3. Which of the following are examples of positive correlation?

• A. As rainfall increases, plant stem length decreases.
• B. As rainfall increases, roots show longer length.
• C. When plotting a comparison of rainfall to plant length, the line trends to the lower right.
• D. When plotting a comparison of rainfall to plant length, the line trends to the upper right.

Correct answer: D

Rationale: The correct answer is D. Positive correlation indicates that as one variable increases, the other variable also increases. In this case, when plotting a comparison of rainfall to plant length, if the line trends to the upper right, it shows a positive correlation where as rainfall increases, plant length also increases. Choices A, B, and C show either no correlation or negative correlation, as they describe scenarios where the variables move in different or opposite directions.

4. What might happen if blood sugar begins to drop in the human body?

• A. The pancreas releases insulin.
• B. The liver releases stored glucose.
• C. The liver stores glucose as glycogen.
• D. The pancreas releases glucagon.

Correct answer: D

Rationale: When blood sugar levels drop in the body, the pancreas releases glucagon. Glucagon acts to increase blood sugar levels by stimulating the liver to release stored glucose into the bloodstream. Therefore, the correct answer is D. Choice A is incorrect because the release of insulin lowers blood sugar levels, opposite of what happens when blood sugar is dropping. Choice B is incorrect as the liver releases stored glucose in response to low blood sugar, not when blood sugar is already dropping. Choice C is also incorrect as the liver stores glucose as glycogen but doesn't directly impact blood sugar levels dropping in the moment.

5. Through what tubes does urine travel from the kidneys to the bladder?

• A. Urethra
• B. Ureters
• C. Renal arteries
• D. Renal veins

Correct answer: B

Rationale: The correct answer is 'Ureters.' The ureters are the tubes that transport urine from the kidneys to the bladder. The urethra, not a choice in this question, is the tube responsible for carrying urine from the bladder out of the body. Renal arteries and veins are blood vessels that respectively supply and drain the kidneys, not involved in the transport of urine to the bladder.

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