Nursing Elites

1. Which part of the nervous system controls the 'fight or flight' response?

• A. Central nervous system
• B. Peripheral nervous system
• C. Autonomic nervous system
• D. Sympathetic nervous system

Correct answer: D

Rationale: The correct answer is the sympathetic nervous system. It controls the 'fight or flight' response by preparing the body for stressful situations. The central nervous system (Choice A) consists of the brain and spinal cord but does not directly control the 'fight or flight' response. The peripheral nervous system (Choice B) includes nerves outside the brain and spinal cord, while the autonomic nervous system (Choice C) regulates involuntary bodily functions but is not specific to the 'fight or flight' response.

2. The pancreas releases a number of digestive enzymes into the small intestine. Which of the following enzymes is NOT produced by the pancreas?

• A. Trypsin (protein digestion)
• B. Amylase (carbohydrate digestion)
• C. Lipase (fat digestion)
• D. Lactase (sugar digestion)

Correct answer: D

Rationale: Lactase is an enzyme responsible for breaking down lactose, a sugar found in dairy products, and it is produced by the small intestine, not the pancreas. The pancreas produces enzymes like trypsin for protein digestion, amylase for carbohydrate digestion, and lipase for fat digestion. Therefore, the correct answer is D. Choices A, B, and C are incorrect because trypsin, amylase, and lipase are indeed enzymes produced by the pancreas for the digestion of proteins, carbohydrates, and fats, respectively.

3. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

4. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

5. What happens to the internal energy of a system when it performs work on its surroundings?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Insufficient information.

Correct answer: B

Rationale: When a system performs work on its surroundings, it loses energy in the form of work done. This results in a decrease in the internal energy of the system. Work done by the system is considered as negative work, leading to a decrease in internal energy. Therefore, the correct answer is that the internal energy decreases when a system performs work on its surroundings. Choice A is incorrect as the internal energy decreases, not increases. Choice C is incorrect because the internal energy changes due to the work done. Choice D is incorrect because the information provided is sufficient to determine the change in internal energy.

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