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. When is work done by a force on an object?

• A. Only when the object moves in the direction of the force
• B. Only when the object moves against the force
• C. Only when the object moves vertically
• D. Only when the force is applied for a specific duration

Correct answer: A

Rationale: Work is done by a force on an object when the object moves in the direction of the force. This is because work is defined as the product of the force applied to an object and the distance over which the force is applied. When the object moves in the direction of the force, the force contributes to the displacement of the object, resulting in work being done. If the object moves perpendicular to the force, no work is done because the force does not contribute to the displacement. Moving against the force also results in work being done as the force is causing the displacement. The vertical movement of the object does not determine whether work is done; it is the alignment of the force with the object's displacement that matters. The duration of force application does not impact whether work is done; as long as the force causes the object to move in its direction, work is being done.

3. What is the protective fluid that surrounds the brain and spinal cord?

• A. Blood
• B. Cerebrospinal fluid
• C. Myelin sheath
• D. Insulin

Correct answer: B

Rationale: Cerebrospinal fluid is the protective fluid that surrounds the brain and spinal cord. It acts as a cushion to protect these vital organs from injury and provides nutrients and removes waste products. Blood, myelin sheath, and insulin do not serve as the protective fluid surrounding the brain and spinal cord. Blood carries nutrients and oxygen to cells, myelin sheath is a protective covering of nerve fibers, and insulin is a hormone involved in regulating blood sugar levels.

4. Which property of a wave remains constant when it crosses a boundary between two different media?

• A. Frequency
• B. Wavelength
• C. Amplitude
• D. Speed

Correct answer: D

Rationale: When a wave crosses a boundary between two different media, its speed is the property that remains constant. This is due to the principle of conservation of energy. While the frequency and wavelength of a wave may change as it moves from one medium to another, the speed of the wave remains constant. This phenomenon is a result of the wave adjusting its frequency and wavelength to maintain a consistent speed in different media. Therefore, choices A, B, and C are incorrect. Frequency and wavelength may change when a wave moves across media, and amplitude may also be affected by the medium, but the speed of the wave will remain constant.

5. Salts like sodium iodide (NaI) and potassium chloride (KCl) use what type of bond?

• A. Ionic bonds
• B. Disulfide bridges
• C. Covalent bonds
• D. London dispersion forces

Correct answer: A

Rationale: Salts like sodium iodide (NaI) and potassium chloride (KCl) use ionic bonds. Ionic bonds are formed between atoms with significantly different electronegativities, leading to the transfer of electrons from one atom to another. In the case of NaI and KCl, sodium (Na) and potassium (K) are metals that easily lose electrons to become positively charged ions, while iodide (I) and chloride (Cl) are nonmetals that readily accept electrons to become negatively charged ions. The attraction between the oppositely charged ions forms the ionic bond, which holds the compound together in a lattice structure. Disulfide bridges (option B) are covalent bonds formed between sulfur atoms in proteins, not in salts. Covalent bonds (option C) involve the sharing of electrons between atoms and are typically seen in molecules, not ionic compounds like salts. London dispersion forces (option D) are weak intermolecular forces that occur between all types of molecules but are not the primary type of bond in salts like NaI and KCl.

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