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 type of waves require a medium (solid, liquid, or gas) to propagate?

• A. Transverse waves
• B. Longitudinal waves
• C. Electromagnetic waves
• D. Surface waves

Correct answer: B

Rationale: Longitudinal waves require a medium (solid, liquid, or gas) to propagate because the particles in the medium move parallel to the direction of the wave. As a result, they rely on the medium for transmission. Transverse waves, on the contrary, do not need a medium and can travel through a vacuum, making choice A incorrect. Electromagnetic waves, represented by choice C, do not require a medium as they consist of oscillating electric and magnetic fields that can propagate through a vacuum. Surface waves, the option in D, involve a combination of both longitudinal and transverse motion and do require a medium to travel, but longitudinal waves are the ones that strictly depend on a medium for propagation.

3. What is a lysosome?

• A. A sac-like structure that contains enzymes that break down cellular components
• B. A network of tubules that transport proteins and lipids throughout the cell
• C. The site of protein synthesis
• D. The site of cellular respiration

Correct answer: A

Rationale: A lysosome is a membrane-bound organelle found in animal cells that contains digestive enzymes. These enzymes are responsible for breaking down various cellular components, such as proteins, lipids, carbohydrates, and even foreign particles like bacteria. This breakdown process is crucial for maintaining cell health and function by recycling and disposing of cellular waste. Options B, C, and D are incorrect because lysosomes are not involved in transporting proteins and lipids throughout the cell (option B), protein synthesis (option C), or cellular respiration (option D). Lysosomes primarily function as the cell's 'recycling center' by breaking down and processing cellular materials.

4. Which class of hormones is most likely to be released after a serious injury?

• A. Acetylcholine
• B. Oxytocin
• C. Luteinizing hormone
• D. Endorphins

Correct answer: D

Rationale: Endorphins are the class of hormones most likely to be released after a serious injury. Endorphins are the body's natural pain relievers and are produced in response to stress or pain, helping to alleviate discomfort and promote a sense of well-being. Acetylcholine is a neurotransmitter, not a hormone. Oxytocin is mainly involved in childbirth and lactation. Luteinizing hormone is involved in reproductive functions such as ovulation. Therefore, choices A, B, and C are incorrect in the context of a hormone release following a serious injury.

5. How does ingested food move through the digestive tract?

• A. Chewing, digestion, absorption
• B. Swallowing, peristalsis, segmentation
• C. Swallowing, mastication, defecation
• D. Digestion, absorption, excretion

Correct answer: B

Rationale: The correct answer is B: Swallowing, peristalsis, segmentation. Food moves through the digestive tract by first being swallowed, then undergoing peristalsis (wave-like movements that propel food along the digestive tract), and finally undergoing segmentation (mixing movements in the intestines). Chewing and digestion occur in the mouth and stomach, respectively, while absorption and excretion happen later in the digestive process. Choice A is incorrect as absorption is a later stage in the process. Choice C is incorrect because defecation is the elimination of waste, not the movement of food. Choice D is incorrect as excretion is the elimination of waste products, not the movement of ingested food through the digestive tract.

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