Nursing Elites

1. Which type of muscle is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Involuntary muscle

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing for conscious movement of the body. Smooth muscle and cardiac muscle are both types of involuntary muscles that are not under conscious control. Smooth muscle is found in the walls of internal organs and blood vessels, functioning involuntarily. Cardiac muscle makes up the heart and contracts involuntarily to pump blood. Involuntary muscle (choice D) is a general term that encompasses smooth muscle and cardiac muscle, which operate involuntarily throughout the body.

2. In a covalent bond, the shared electrons:

• A. Are completely transferred to one atom.
• B. Spend more time closer to the more electronegative atom.
• C. Remain equidistant between the two atoms.
• D. Do not influence the bond strength.

Correct answer: B

Rationale: In a covalent bond, the shared electrons spend more time closer to the more electronegative atom. Electronegativity is the ability of an atom to attract electrons in a chemical bond. The more electronegative atom exerts a stronger pull on the shared electrons, causing them to be closer to that atom. Choice A is incorrect because in a covalent bond, electrons are shared, not completely transferred. Choice C is incorrect as the shared electrons are not equidistant but are closer to one atom due to electronegativity differences. Choice D is incorrect because shared electrons play a significant role in determining the bond strength by the strength of the bond formed through electron sharing.

3. In the cardiovascular system, what does the term 'double circulation' refer to?

• A. The separation of oxygenated and deoxygenated blood flow within the heart.
• B. The regulation of blood pressure through vasoconstriction and vasodilation.
• C. The cyclic contraction and relaxation of the heart muscle.
• D. The existence of two separate circulatory pathways, one for the lungs and one for the body.

Correct answer: D

Rationale: The term 'double circulation' in the cardiovascular system refers to the existence of two separate circulatory pathways, one for the lungs (pulmonary circulation) and one for the body (systemic circulation). Oxygen-poor blood is pumped from the heart to the lungs for oxygenation, and then oxygen-rich blood is pumped from the lungs back to the heart to be circulated to the rest of the body. Choices A, B, and C are incorrect as they do not accurately describe the concept of 'double circulation.' Choice A refers to the separation of oxygenated and deoxygenated blood within the heart, choice B relates to blood pressure regulation mechanisms, and choice C describes the cardiac muscle's contraction and relaxation, none of which define 'double circulation' in the context of the cardiovascular system.

4. What is the name of the condition characterized by inflammation of the small intestine?

• A. Appendicitis
• B. Celiac disease
• C. Gastritis
• D. Crohn's disease

Correct answer: D

Rationale: A) Appendicitis is inflammation of the appendix, not the small intestine. B) Celiac disease is an autoimmune disorder triggered by gluten consumption that damages the small intestine, but it is not characterized by inflammation alone. C) Gastritis is inflammation of the stomach lining, not the small intestine. D) Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract, but it commonly involves the small intestine. Symptoms of Crohn's disease include abdominal pain, diarrhea, weight loss, and fatigue.

5. Which of the following quantities do catalysts alter to control the rate of a chemical reaction?

• A. Substrate energy
• B. Activation energy
• C. Inhibitor energy
• D. Promoter energy

Correct answer: B

Rationale: The correct answer is B: Activation energy. Catalysts function by reducing the activation energy needed for a chemical reaction to proceed. By lowering the activation energy, catalysts facilitate the reaction without being consumed themselves. Substrate energy, inhibitors, and promoters are not directly altered by catalysts in the same way activation energy is. Substrate energy refers to the energy of the reactants, which is not altered by catalysts. Inhibitors increase the activation energy required for a reaction, while promoters enhance the effectiveness of a catalyst but do not represent a quantity altered by catalysts.

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