Nursing Elites

1. During exercise, heart rate increases to deliver more oxygen to the body's tissues. What other cardiovascular response also increases?

• A. Blood pressure decreases
• B. Blood vessel diameter narrows
• C. Blood flow to muscles increases
• D. Blood viscosity thickens

Correct answer: C

Rationale: During exercise, the cardiovascular response includes an increase in blood flow to the muscles to deliver more oxygen and nutrients needed for energy production. This helps to support the increased demand for oxygen and nutrients by the working muscles. Blood pressure typically increases during exercise to help facilitate this increased blood flow to the muscles. Additionally, blood vessel diameter may widen (vasodilation) to allow for more blood flow, rather than narrow. Blood viscosity does not typically thicken during exercise.

2. Which type of muscle is found in the heart?

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

Correct answer: B

Rationale: The correct answer is 'B: Cardiac muscle.' Cardiac muscle is the specific type of muscle found in the heart. Unlike smooth muscle and skeletal muscle, cardiac muscle is involuntary and contracts rhythmically to pump blood throughout the body, making it essential for the heart's function. Smooth muscle (Choice A) is found in the walls of hollow organs and blood vessels, while skeletal muscle (Choice C) is attached to bones and responsible for movement. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control.

3. Which term refers to a position toward the feet? For example, the foot is part of the inferior extremity.

• A. Anterior
• B. Posterior
• C. Superior
• D. Inferior

Correct answer: D

Rationale: The correct answer is 'Inferior.' 'Inferior' refers to a position located towards the feet or lower part of the body. This is the opposite of 'superior,' which indicates a position towards the head or upper part of the body. 'Anterior' refers to the front of the body, 'posterior' refers to the back of the body, making them incorrect choices in this context.

4. Diabetes mellitus is a chronic condition affecting blood sugar control. What is the main type of hormone deficiency associated with type 1 diabetes?

• A. Insulin
• B. Glucagon
• C. Estrogen
• D. Testosterone

Correct answer: A

Rationale: The correct answer is A: Insulin. Type 1 diabetes is characterized by the body's inability to produce insulin, the hormone responsible for regulating blood sugar levels. Insulin deficiency in type 1 diabetes leads to high blood sugar levels as the body cannot effectively utilize glucose for energy. Glucagon (Choice B) is a hormone that works opposite to insulin, raising blood sugar levels. Estrogen (Choice C) and testosterone (Choice D) are not directly involved in blood sugar control or the pathophysiology of type 1 diabetes.

5. Which of the following chambers of the heart receives blood returning from the lungs during pulmonary circulation?

• A. left atrium
• B. right atrium
• C. left ventricle
• D. right ventricle

Correct answer: A

Rationale: The correct answer is A, the left atrium. During pulmonary circulation, oxygenated blood returns from the lungs to the heart and enters the left atrium through the pulmonary veins. The left atrium then contracts, pushing this oxygen-rich blood into the left ventricle. The left ventricle subsequently pumps this oxygenated blood out to the rest of the body through the aorta. Choices B, C, and D are incorrect because the right atrium receives deoxygenated blood from the body, the left ventricle receives oxygenated blood from the left atrium, and the right ventricle pumps deoxygenated blood to the lungs for oxygenation, respectively.

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