Nursing Elites

1. Which skin condition is characterized by patches of inflamed, reddened skin and is often triggered by allergens or stress?

• A. Eczema
• B. Psoriasis
• C. Acne
• D. Vitiligo

Correct answer: A

Rationale: Eczema is the correct answer. It presents as patches of inflamed, reddened skin and can be triggered by allergens, stress, or other factors. Psoriasis, on the other hand, is characterized by red, scaly patches rather than inflamed and reddened skin. Acne manifests as pimples and blemishes, not patches of inflamed skin. Vitiligo is characterized by the loss of skin color in patches, which is distinct from the symptoms described in the question.

2. Which part of the heart is responsible for generating the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The QRS complex on an ECG represents ventricular depolarization. This electrical activity is generated by the ventricular muscle cells. While the SA node generates the P wave, the AV node delays the impulse, and the Bundle of His and Purkinje fibers assist in rapidly conducting the impulse through the ventricles, it is the ventricular muscle cells that specifically create the QRS complex. Therefore, choice D, Ventricular muscle cells, is the correct answer. Choices A, B, and C are incorrect as they are primarily involved in initiating and coordinating the electrical impulses in the heart but do not directly generate the QRS complex on an ECG.

3. Which element's neutral atom has 2 electrons in the first shell and 6 electrons in the second shell of the electron cloud?

• A. Beryllium
• B. Carbon
• C. Helium
• D. Oxygen

Correct answer: D

Rationale: The correct answer is Oxygen. Oxygen has a total of 8 electrons, with 2 in the first shell and 6 in the second shell. This configuration matches the description provided in the question. Choice A, Beryllium, has 2 electrons in total, so it cannot have 2 in the first shell and 6 in the second. Choice B, Carbon, has 6 electrons in total, so it also does not match the given electron distribution. Choice C, Helium, has only 2 electrons in total and therefore does not fit the electron configuration described in the question.

4. What is the difference between a pure substance and a mixture?

• A. Pure substances have a fixed composition, mixtures don't.
• B. Mixtures have a fixed composition, pure substances don't.
• C. Pure substances can be in any state, mixtures are not always solids.
• D. Pure substances are always elements, mixtures are always compounds.

Correct answer: A

Rationale: Pure substances have a definite and constant composition, meaning they are made up of only one type of atom or molecule with fixed proportions. This composition does not vary. On the other hand, mixtures are composed of two or more substances physically combined. The components of a mixture can be present in varying proportions, leading to a variable composition. Choice A is correct as it accurately distinguishes between pure substances and mixtures based on the fixed composition of pure substances and the variable composition of mixtures. Choice B is incorrect because mixtures, not pure substances, have variable compositions. Choice C is incorrect as both pure substances and mixtures can exist in different states. Choice D is incorrect because pure substances can be compounds as well, not exclusively elements, and mixtures can contain elements and compounds.

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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