Nursing Elites

1. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When the diaphragm contracts and flattens, it increases the volume of the thoracic cavity, creating a negative pressure that allows air to rush into the lungs. The intercostal muscles also play a role in expanding the ribcage to assist with inhalation. However, the diaphragm is the main driver of the breathing process by creating the necessary space for the lungs to expand and fill with air.

2. What is the term for the pressure exerted by blood against the walls of blood vessels?

• A. Heart rate
• B. Blood pressure
• C. Cardiac output
• D. Stroke volume

Correct answer: B

Rationale: The correct answer is B: Blood pressure. Blood pressure is the term used to describe the force or pressure exerted by blood against the walls of blood vessels. It is typically measured in millimeters of mercury (mmHg) and consists of two main components - systolic pressure (the pressure when the heart is contracting) and diastolic pressure (the pressure when the heart is relaxed). Heart rate (A) refers to the number of times the heart beats per minute and is not specifically related to the pressure against blood vessel walls. Cardiac output (C) is the volume of blood pumped by the heart per minute, while stroke volume (D) is the volume of blood pumped by the heart in a single contraction. These are related to heart function but not specifically to the pressure against blood vessel walls.

3. Identify the type of error in the sentence "They went to the store, and bought groceries, then went home."

• A. Run-on sentence
• B. Comma splice
• C. Dangling modifier
• D. Subject-verb agreement

Correct answer: A

Rationale: The sentence combines two independent clauses without proper punctuation, forming a run-on sentence.

4. Which neurotransmitter is associated with mood regulation, sleep, and appetite?

• A. Acetylcholine
• B. Dopamine
• C. Serotonin
• D. GABA (Gamma-aminobutyric acid)

Correct answer: c

Rationale: The correct answer is C: Serotonin. Serotonin is a neurotransmitter that plays a crucial role in mood regulation, sleep, and appetite. It is often referred to as the 'feel-good' neurotransmitter because it helps regulate mood and emotional well-being. Serotonin is also involved in controlling sleep patterns and appetite, making it essential for maintaining a healthy balance in these areas. Acetylcholine is mainly associated with muscle movement and memory, while dopamine is linked to pleasure and reward pathways. GABA is an inhibitory neurotransmitter that helps reduce neuronal excitability. Therefore, serotonin is the neurotransmitter most closely associated with mood regulation, sleep, and appetite.

5. The stratified squamous epithelium found in the skin is adapted for:

• A. Absorption
• B. Secretion
• C. Protection
• D. Gas exchange

Correct answer: C

Rationale: The correct answer is C: Protection. Stratified squamous epithelium is a type of tissue that is well-suited for protection as it consists of multiple layers of cells that provide a barrier against physical and chemical damage. In the skin, this epithelium helps protect the body against external threats such as pathogens, UV radiation, and mechanical abrasion. Absorption (A) and secretion (B) are typically functions of other types of epithelial tissues, such as simple columnar or simple cuboidal epithelium. Gas exchange (D) is primarily facilitated by tissues like the alveolar epithelium in the lungs, not stratified squamous epithelium in the skin.

6. The T wave on an ECG corresponds to:

• A. Atrial depolarization
• B. Ventricular depolarization
• C. Atrial repolarization
• D. Ventricular repolarization

Correct answer: D

Rationale: The T wave on an ECG corresponds to ventricular repolarization. During this phase, the ventricles are resetting electrically after contraction, preparing for the next heartbeat. Atrial depolarization is represented by the P wave, ventricular depolarization by the QRS complex, and atrial repolarization is typically hidden within the QRS complex. Therefore, option D, 'Ventricular repolarization,' is the correct choice when identifying the electrical activity represented by the T wave on an ECG.

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