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 of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

3. Which term describes a position closer to the midline of the body? Example: The chest is medial to the arm.

• A. Lateral
• B. Medial
• C. Proximal
• D. Distal

Correct answer: B

Rationale: The correct answer is 'B: Medial.' 'Medial' refers to a position closer to the midline of the body, while 'lateral' refers to a position further from the midline. 'Proximal' describes a position closer to the point of attachment or trunk of the body, while 'distal' refers to a position further away from the point of attachment or trunk.

4. A person wakes up with a fever. The body begins its response to locate the origin of the problem and fix it. What type of feedback mechanism is this?

• A. Equal
• B. Negative
• C. Neutral
• D. Positive

Correct answer: B

Rationale: This scenario describes a negative feedback mechanism. When the body detects a fever, it initiates responses to lower the temperature back to normal levels. Negative feedback mechanisms work to counteract changes and maintain homeostasis in the body. Choice A ('Equal') is incorrect as feedback mechanisms aim to restore balance, not maintain an equal state. Choice C ('Neutral') is incorrect as it does not describe the corrective nature of negative feedback. Choice D ('Positive') is incorrect as it would amplify the fever rather than regulate it.

5. Which mineral is crucial for bone strength and is stored in bones and teeth?

• A. Calcium
• B. Iron
• C. Magnesium
• D. Potassium

Correct answer: A

Rationale: Calcium is crucial for bone strength as it is a major mineral stored in bones and teeth. It plays a vital role in maintaining bone density and strength, making it essential for overall bone health. Calcium is essential for various physiological functions, including muscle contraction, nerve transmission, and blood clotting. Inadequate calcium intake can lead to conditions like osteoporosis, where bones become weak and brittle. Iron (Choice B) is important for transporting oxygen in the blood, but it is not stored in bones and does not play a significant role in bone strength. Magnesium (Choice C) is essential for bone health, but it is not primarily stored in bones and teeth. Potassium (Choice D) is crucial for various physiological functions, such as fluid balance and muscle function, but it is not a major mineral stored in bones and teeth for bone strength.

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