Nursing Elites

1. Which structure connects a muscle to a bone, allowing movement to occur at a joint?

• A. Tendon
• B. Ligament
• C. Cartilage
• D. Bursa

Correct answer: a

Rationale: The correct answer is A: Tendon. Tendons are fibrous connective tissues that connect muscles to bones. They play a crucial role in allowing movement to occur at joints by transmitting the force generated by the muscle to the bone, resulting in movement. Ligaments (option B) connect bone to bone, providing stability to joints. Cartilage (option C) is a smooth, flexible tissue that covers the ends of bones and acts as a cushion. Bursa (option D) is a small fluid-filled sac that reduces friction between tissues. Therefore, tendons are specifically designed to connect muscles to bones for movement at joints.

2. Which component of the nervous system is responsible for controlling voluntary movements, such as the contraction of skeletal muscles?

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

Correct answer: c

Rationale: The correct answer is C, the somatic nervous system. The somatic nervous system is responsible for controlling voluntary movements, such as the contraction of skeletal muscles. This system consists of motor neurons that send signals from the central nervous system to the skeletal muscles, allowing us to consciously control our movements. The autonomic nervous system (A) controls involuntary actions like heart rate and digestion, the peripheral nervous system (B) includes all nerves outside of the brain and spinal cord, and the sympathetic nervous system (D) is a division of the autonomic nervous system responsible for the fight-or-flight response. Therefore, the somatic nervous system is specifically involved in voluntary movements.

3. In which part of the cell are proteins modified, sorted, and packaged for transport?

• A. Ribosomes
• B. Golgi apparatus
• C. Endoplasmic reticulum (ER)
• D. Lysosomes

Correct answer: B

Rationale: The Golgi apparatus is responsible for modifying, sorting, and packaging proteins for transport. After proteins are synthesized in the rough endoplasmic reticulum (ER), they are transported to the Golgi apparatus where they undergo post-translational modifications and are sorted into vesicles for transport to their final destinations. Ribosomes are responsible for protein synthesis, the endoplasmic reticulum is involved in protein synthesis and folding, and lysosomes are responsible for digesting cellular waste. Therefore, the correct answer is B, Golgi apparatus, as it is specifically involved in the modification, sorting, and packaging of proteins for transport.

4. Ms. Valencia prepares the process standards. Which of the following is NOT a process

• A. Initial assessment shall be done to all patients within twenty four hours upon admission.
• B. Informed consent shall be secured prior to any invasive procedure
• C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
• D. Patient education about their illness and treatment shall be provided for all patients and their

Correct answer: D

Rationale: In this question, Ms. Valencia is tasked with preparing process standards, which are systematic procedures or steps followed to ensure quality care. Options A, B, and C all refer to specific processes that are essential in healthcare: timely assessment, obtaining informed consent, and assessing patient satisfaction. However, option D about providing patient education is more focused on an outcome (patient education) rather than a specific process standard. While patient education is important, the question is asking for a process standard, making option D the correct answer as it does not directly relate to a specific process standard.

5. The major site for nutrient absorption in the digestive system is the:

• A. Mouth
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: C

Rationale: The correct answer is C: Small intestine. The small intestine is the major site for nutrient absorption in the digestive system. It is where most of the digestion and absorption of nutrients from food takes place. The small intestine has villi and microvilli that increase its surface area, allowing for efficient absorption of nutrients like sugars, amino acids, and fatty acids into the bloodstream. The mouth is primarily responsible for mechanical digestion through chewing, while the stomach's main function is to break down food with enzymes and acids. The large intestine mainly absorbs water and electrolytes, with minimal nutrient absorption.

6. 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: Spend more time closer to the more electronegative atom. Electronegativity determines the "pull" on shared electrons, with the more electronegative atom attracting them for a larger portion of the time, creating a partial negative charge near its nucleus.

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