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 is an example of a flat bone?

• A. Femur
• B. Scapula
• C. Humerus
• D. Tibia

Correct answer: B

Rationale: The correct answer is B, the Scapula. Flat bones, such as the scapula, are thin, flattened bones that provide protection to internal organs and serve as attachment points for muscles. The other choices, femur, humerus, and tibia, are examples of long bones, which are characterized by their elongated structure and are primarily involved in supporting weight and facilitating movement.

3. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

4. 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.

5. Which of the following describes a typical gas?

• A. Indefinite shape and indefinite volume
• B. Indefinite shape and definite volume
• C. Definite shape and definite volume
• D. Definite shape and indefinite volume

Correct answer: B

Rationale: The correct answer is B: 'Indefinite shape and definite volume.' A gas does not have a definite shape as it takes the shape of its container, conforming to its surroundings. However, a gas does have a definite volume because it fills the entire volume of the container it occupies. This characteristic allows gases to expand to fill the available space provided by the container, while their volume remains constant within that container. Choice A is incorrect because gases do not have an indefinite volume but rather a definite volume. Choice C is incorrect as gases do not have a definite shape but take the shape of their container. Choice D is incorrect as gases do not have a definite shape and their volume is definite, not indefinite.

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