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. In which position allows access to the stomach?

• A. Medial
• B. Prone
• C. Superficial
• D. Supine

Correct answer: B

Rationale: The question now specifies the need for a position that allows access to the stomach. The correct answer is 'B: Prone.' In the prone position, the patient lies face down, which facilitates access to the stomach for various procedures or examinations. Choice A, 'Medial,' refers to a direction rather than a patient position. Choice C, 'Superficial,' describes a superficial depth rather than a patient position. Choice D, 'Supine,' is a position where the patient lies face up, which does not provide easy access to the stomach.

3. What is the name of the strong acid produced by the stomach to help break down food?

• A. Hydrochloric acid
• B. Lactic acid
• C. Bile
• D. Fatty acid

Correct answer: A

Rationale: The correct answer is A, hydrochloric acid. The stomach produces hydrochloric acid to aid in the digestion process by breaking down food, particularly proteins. This acid is crucial for the proper absorption of nutrients in the stomach. Lactic acid is produced in muscles during intense exercise, not in the stomach. Bile is produced by the liver to assist in digestion, primarily in the small intestine, not in the stomach. Fatty acids are molecules found in fats with different functions in the body, but they are not the primary acid produced by the stomach for digestion.

4. When a person pushes a box across the floor, which of the following forces is NOT doing work?

• A. The person's pushing force
• B. The normal force from the floor
• C. The gravitational force on the box
• D. The frictional force between the box and the floor

Correct answer: B

Rationale: The normal force from the floor is perpendicular to the direction of motion of the box, so it does not contribute to the work being done. Work is only done by forces acting in the direction of motion of an object. In this case, the normal force is acting at a right angle to the motion, hence it does not perform any work on the box. The person's pushing force, the gravitational force, and the frictional force are all acting in the direction of motion of the box, so they contribute to the work being done in moving the box across the floor.

5. Which type of white blood cell directly attacks and destroys pathogens like bacteria and viruses?

• A. Neutrophils
• B. Lymphocytes
• C. Monocytes
• D. Eosinophils

Correct answer: A

Rationale: Neutrophils are a type of white blood cell that plays a crucial role in the immune system's response to infections. They are phagocytes, meaning they engulf and destroy pathogens like bacteria and viruses. Neutrophils are the most abundant type of white blood cell and are known for their rapid response to infections, making them the primary cell type that directly attacks and destroys pathogens. Lymphocytes, although important in adaptive immunity, are not primarily responsible for directly attacking and destroying pathogens. Monocytes are involved in phagocytosis and immune response regulation but are not the primary cell type for direct pathogen destruction like neutrophils. Eosinophils are mainly involved in combating multicellular parasites and are not the primary cell type for targeting bacteria and viruses.

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