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. Which of the following meninges is a thin membrane containing numerous nerves and blood vessels that supply nourishment to the underlying brain cells and spinal cord?

• A. Arachnoid mater
• B. Dura mater
• C. Periosteum
• D. Pia mater

Correct answer: D

Rationale: The pia mater is the correct answer. It is a thin, innermost layer of the meninges that contains numerous nerves and blood vessels, providing nourishment to the underlying brain cells and spinal cord. The arachnoid mater (Choice A) is the middle layer of the meninges and does not contain as many nerves and blood vessels as the pia mater. The dura mater (Choice B) is the tough, outermost layer of the meninges and is not responsible for supplying nourishment. The periosteum (Choice C) is a connective tissue membrane covering bones, not part of the meninges.

3. What happens when an atom loses an electron?

• A. It forms a molecule.
• B. It gains a positive charge and becomes an ion.
• C. It alters its elemental identity.
• D. No change occurs; it remains neutral.

Correct answer: B

Rationale: When an atom loses an electron, it gains a positive charge and becomes an ion. This occurs because the number of protons in the atom exceeds the number of electrons, leading to a positive charge. Therefore, the atom undergoes a transformation into an ion by losing an electron. Choice A is incorrect because losing an electron does not result in the formation of a molecule, as molecules are made up of bonded atoms. Choice C is incorrect because losing an electron does not change the fundamental identity of the atom; it only changes its charge. Choice D is incorrect because losing an electron causes the atom to become positively charged, altering its neutrality.

4. What term refers to the mechanical act of breathing?

• A. Diffusion
• B. Perfusion
• C. Respiration
• D. Ventilation

Correct answer: D

Rationale: Ventilation is the correct answer as it specifically refers to the mechanical process of breathing air in and out of the lungs. Diffusion (choice A) is the movement of molecules from an area of high concentration to low concentration, not related to the mechanical act of breathing. Perfusion (choice B) is the process of blood flow through the tissues and organs, not directly related to breathing mechanically. Respiration (choice C) involves the exchange of oxygen and carbon dioxide at the cellular level, different from the mechanical act of breathing.

5. What is the primary function of the endocrine system?

• A. Heartbeat
• B. Respiration
• C. Electrolyte and water balance
• D. Homeostasis

Correct answer: D

Rationale: The correct answer is D. The primary function of the endocrine system is to maintain homeostasis. Homeostasis refers to the stable internal conditions of the body, including body temperature, blood pH, and glucose levels. The endocrine system achieves this by releasing hormones that regulate various physiological processes and help keep the body's internal environment in balance. Choices A, B, and C are incorrect because while the endocrine system does influence heart rate, electrolyte and water balance, and respiration to some extent, its primary role is to regulate homeostasis by releasing hormones.

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