Nursing Elites

1. The doctor carefully examined the patient. Which word is the comparative form of the adjective "careful"?

• A. careful
• B. carelessly
• C. more careful
• D. most careful

Correct answer: C

Rationale: The comparative form of an adjective compares two things.

2. An IV bag contains 500ml of saline solution and needs to be infused over 4 hours. What is the flow rate in drops per minute, assuming 20 drops per milliliter?

• A. 12.5 drops/min
• B. 25 drops/min
• C. 50 drops/min
• D. 100 drops/min

Correct answer: C

Rationale: Calculate the total volume in drops (500ml * 20 drops/ml = 10,000 drops). Divide this by the infusion time in minutes (4 hours * 60 minutes/hour = 240 minutes) to get the flow rate.

3. When a muscle shortens and generates force, this is called a:

• A. Contraction
• B. Relaxation
• C. Extension
• D. Atrophy

Correct answer: A

Rationale: The correct answer is A: Contraction. When a muscle shortens and generates force, it is undergoing a contraction. During a contraction, the muscle fibers are actively pulling on the tendons, causing movement at a joint. This process requires energy and coordination between muscle fibers to contract simultaneously. In contrast, relaxation (option B) is when the muscle fibers return to their resting length and stop generating force. Extension (option C) refers to the movement that increases the angle at a joint, typically involving the lengthening of muscles. Atrophy (option D) is the wasting away or decrease in size of muscle tissue due to disuse or disease, not the active shortening and force generation of a muscle during a contraction.

4. What is the process by which muscle tissue wastes away due to disuse or lack of nutrients?

• A. Hypertrophy
• B. Atrophy
• C. Fibrosis
• D. Rigor mortis

Correct answer: B

Rationale: The correct answer is B: Atrophy. Atrophy is the process by which muscle tissue wastes away due to disuse or lack of nutrients. When muscles are not regularly used or do not receive enough nutrients, they can decrease in size and strength. Hypertrophy, on the other hand, refers to the increase in muscle size and strength through exercise and proper nutrition. Fibrosis is the formation of excess fibrous connective tissue in an organ or tissue, leading to scarring. Rigor mortis is a temporary stiffening of muscles that occurs after death. Therefore, in this context, atrophy best describes the wasting away of muscle tissue due to disuse or lack of nutrients.

5. The largest lymphatic vessel in the body is responsible for draining lymph from most of the body. What is it called?

• A. Jugular vein
• B. Thoracic duct
• C. Subclavian vein
• D. Aorta

Correct answer: B

Rationale: The correct answer is B: Thoracic duct. The thoracic duct is the largest lymphatic vessel in the body and is responsible for draining lymph from most of the body. It collects lymph from the left side of the head, neck, chest, abdomen, left arm, and lower extremities. The jugular vein (A) is a major blood vessel that drains blood from the head. The subclavian vein (C) is responsible for draining blood from the upper extremities. The aorta (D) is the main artery that carries oxygenated blood away from the heart. Therefore, the thoracic duct is the correct answer for the largest lymphatic vessel in the body.

6. What type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: Rationale: A ball-and-socket joint allows for the most movement among the options provided. This type of joint is characterized by a rounded end of one bone fitting into a cup-like socket of another bone, allowing for a wide range of motion in multiple directions. The shoulder joint is a prime example of a ball-and-socket joint, enabling movements such as flexion, extension, abduction, adduction, and rotation. In contrast, a hinge joint (option B) like the elbow primarily allows for movement in one plane (flexion and extension). Fibrocartilaginous joints (option C) like the wrists have limited movement due to the presence of cartilage between the bones. Suture joints (option D) in the skull are immovable joints that provide structural support but do not allow for significant movement.

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