Nursing Elites

1. Which state of matter has both a definite volume and a definite shape?

• A. Solid
• B. Liquid
• C. Gas
• D. Plasma

Correct answer: A

Rationale: The correct answer is 'Solid.' Solids have both a definite volume and a definite shape because the particles are closely packed together and vibrate in fixed positions. This close arrangement of particles allows solids to maintain their shape and volume, unlike liquids and gases which do not have a definite shape. Liquids take the shape of their container but have a definite volume. Gases, on the other hand, do not have a definite shape or volume as they expand to fill the space available to them. Plasma is a high-energy state of matter where atoms are stripped of their electrons and is not characterized by definite shape or volume.

2. What happens when the diaphragm contracts?

• A. Air is expelled from the lungs.
• B. The lungs expand to allow air intake.
• C. The vocal cords vibrate to produce sound.
• D. The trachea narrows to control airflow.

Correct answer: B

Rationale: When the diaphragm contracts, it moves downward, creating more space in the chest cavity. This expansion of the chest cavity causes the lungs to expand as well, allowing air to be drawn into the lungs during inhalation. Therefore, the correct answer is that the lungs expand to allow air intake when the diaphragm contracts. Choices A, C, and D are incorrect because when the diaphragm contracts, it does not expel air from the lungs, cause the vocal cords to vibrate, or narrow the trachea to control airflow.

3. Which valves are part of the heart?

• A. Tricuspid, mitral, pulmonary, aortic
• B. Aortic, pulmonary, mitral, tricuspid
• C. Aortic, pulmonary, Erb's point, tricuspid
• D. Aortic, pulmonic, Erb's point, tricuspid

Correct answer: B

Rationale: The correct valves of the heart are the aortic, pulmonic, tricuspid, and mitral (bicuspid) valves. Choice B correctly lists the aortic, pulmonary, mitral, and tricuspid valves. Erb's point is not a valve but rather an auscultation point on the chest, making choices C and D incorrect.

4. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

5. Balance the chemical equation: C4H10 + O2 → CO2 + H2O. What is the coefficient for oxygen?

• A. 5
• B. 6
• C. 7
• D. 8

Correct answer: B

Rationale: To balance the chemical equation, we need to ensure that the number of each type of atom is the same on both sides of the equation. In this case, there are 10 oxygen atoms on the right side (5 in CO2 and 5 in H2O). To balance this, we need to add a coefficient of 6 in front of O2 on the left side, resulting in 6 O2 molecules. This change will give us a total of 12 oxygen atoms on both sides, making the equation balanced. Choice A (5) is incorrect because it does not account for all the oxygen atoms present in the products. Choices C (7) and D (8) are incorrect as they would result in an imbalance in the number of oxygen atoms on both sides of the equation.

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