Nursing Elites

1. Dense irregular connective tissue, found in tendons and ligaments, provides:

• A. Flexibility
• B. Lubrication
• C. Insulation
• D. Tensile strength

Correct answer: D

Rationale: Dense irregular connective tissue, found in tendons and ligaments, provides tensile strength. Tendons and ligaments need to withstand tension and forces acting upon them, and the dense irregular connective tissue helps provide this strength and support. Choice A, flexibility, is incorrect because tendons and ligaments primarily provide support and stability rather than flexibility. Choice B, lubrication, is not the main function of dense irregular connective tissue in tendons and ligaments. Choice C, insulation, is also incorrect as this tissue type is not primarily involved in providing insulation.

2. Two isotopes of the same element have different numbers of:

• A. Electrons
• B. Protons
• C. Neutrons
• D. Nuclei

Correct answer: C

Rationale: The correct answer is C: 'Neutrons.' Isotopes are variants of an element that have the same number of protons and electrons but differ in the number of neutrons they contain. This difference in neutron count is what distinguishes isotopes from each other while maintaining the same chemical properties. Choice A, 'Electrons,' is incorrect because isotopes of the same element have the same number of electrons. Choice B, 'Protons,' is incorrect because isotopes of the same element have the same number of protons. Choice D, 'Nuclei,' is incorrect as nuclei refer to the central part of an atom containing protons and neutrons, and the question specifically asks about differences between isotopes of the same element.

3. Which 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: The correct answer is A: Ball-and-socket joint (shoulder). Ball-and-socket joints, exemplified by the shoulder joint, provide the widest range of movement among joint types. These joints facilitate flexion, extension, abduction, adduction, and rotation, allowing for versatile mobility. In a ball-and-socket joint, the rounded end of one bone fits into the socket of another bone, enabling extensive motion capabilities. Choice B, Hinge joint (elbow), allows movement in one plane, limiting its range compared to ball-and-socket joints. Choice C, Fibrocartilaginous joint (wrists), like the intervertebral discs, is meant for stability rather than extensive movement. Choice D, Suture joint (skull), found in the skull bones, is immovable and provides structural support rather than movement.

4. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

5. Antidiuretic hormone (ADH) plays a crucial role in regulating water balance. When ADH levels are high, what happens to urine production?

• A. Urine production increases significantly
• B. Urine production decreases to conserve water
• C. There is no change in urine production
• D. The kidneys stop producing urine altogether

Correct answer: B

Rationale: When ADH levels are high, urine production decreases to conserve water. ADH acts on the kidneys to increase water reabsorption, leading to the production of concentrated urine and conservation of water in the body. Choice A is incorrect as high ADH levels lead to increased water reabsorption, reducing urine output. Choice C is incorrect since high ADH levels do influence urine production. Choice D is incorrect as the kidneys do not stop producing urine entirely but rather adjust the reabsorption of water based on ADH levels.

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