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 it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

2. What is surgically altered during a vasectomy?

• A. Vas deferens
• B. Glans penis
• C. Prostate
• D. Urethra

Correct answer: A

Rationale: During a vasectomy, the vas deferens is surgically altered or cut to prevent the transport of sperm from the testicles to the urethra. This procedure is a form of permanent male sterilization. The glans penis, prostate, and urethra are not surgically altered during a vasectomy. Therefore, the correct answer is the vas deferens (Choice A), as it is the structure specifically targeted and modified in this procedure. The glans penis (Choice B) is the sensitive tip of the penis, the prostate (Choice C) is a gland vital for semen production but not involved in a vasectomy, and the urethra (Choice D) is the tube that carries urine and semen but is not surgically altered in a vasectomy.

3. Which of the following blood vessels carries oxygenated blood away from the heart?

• A. Pulmonary artery
• B. Aorta
• C. Superior vena cava
• D. Inferior vena cava

Correct answer: B

Rationale: The aorta is the correct answer because it is the main artery in the body that carries oxygenated blood away from the heart to the rest of the body. The pulmonary artery carries deoxygenated blood from the heart to the lungs for oxygenation. The superior and inferior vena cava are veins that carry deoxygenated blood from the body back to the heart. Therefore, choices A, C, and D are incorrect as they do not carry oxygenated blood away from the heart.

4. Which of the following is NOT an example of a homeostatic mechanism?

• A. Shivering when the body temperature falls.
• B. Increasing heart rate when blood pressure is low.
• C. Weight gain when consuming excess calories.
• D. Secreting insulin to decrease blood sugar concentration.

Correct answer: C

Rationale: Weight gain when consuming excess calories is not an example of a homeostatic mechanism. Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. The other options listed (A, B, and D) involve physiological responses aimed at restoring balance or stability within the body (e.g., regulating body temperature, blood pressure, and blood sugar levels). Shivering, increasing heart rate, and secreting insulin are mechanisms to counteract specific imbalances and maintain internal equilibrium. In contrast, weight gain due to excess calorie intake does not represent a specific regulatory mechanism but rather an outcome of energy imbalance. The body stores excess energy as fat rather than actively regulating a physiological parameter to restore balance.

5. What is the function of the lymphatic system?

• A. To transport oxygen
• B. To filter waste from the blood
• C. To produce red blood cells
• D. To regulate body temperature

Correct answer: B

Rationale: The correct answer is B: 'To filter waste from the blood.' The lymphatic system is responsible for draining excess fluid from tissues, absorbing fats from the digestive system, and filtering out harmful substances and waste products from the blood. It also plays a crucial role in the body's immune defense by transporting white blood cells and antibodies to fight off infections. Choices A, C, and D are incorrect because transporting oxygen, producing red blood cells, and regulating body temperature are functions performed by other systems in the body, such as the respiratory system, bone marrow, and thermoregulatory mechanisms, respectively.

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