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 are the components of an ECG?

• A. P wave, T wave, U wave
• B. P wave, QRS complex, T wave
• C. QRS complex, S wave, P wave
• D. T wave, S wave, U wave

Correct answer: B

Rationale: The correct answer is B: P wave, QRS complex, T wave. The components of an ECG include the P wave (atrial depolarization), QRS complex (ventricular depolarization), and T wave (ventricular repolarization). The P wave represents atrial depolarization, the QRS complex represents ventricular depolarization, and the T wave represents ventricular repolarization. Options A, C, and D have incorrect combinations of ECG components. Option A incorrectly includes the U wave, which is not a standard component of a typical ECG. Option C includes the S wave, which is not a primary component of a standard ECG. Option D includes the U wave, which is not a standard component, and the S wave, which is not a primary component of an ECG. Therefore, option B is the most accurate combination of components for an ECG.

3. Which enzyme breaks down carbohydrates like starches and sugars in the mouth?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: The correct answer is Amylase. Amylase is the enzyme responsible for breaking down carbohydrates like starches and sugars in the mouth. Pepsin is a digestive enzyme that breaks down proteins in the stomach, lipase breaks down fats, and trypsin is another enzyme that breaks down proteins in the small intestine. Therefore, choices A, B, and D are incorrect for this question.

4. What are the two main divisions of the skeletal system?

• A. Upper and lower body bones
• B. Axial and appendicular skeleton
• C. Long and short bones
• D. Compact and spongy bone

Correct answer: B

Rationale: The skeletal system is divided into two main divisions: the axial skeleton and the appendicular skeleton. The axial skeleton comprises the skull, vertebral column, and rib cage, providing structural support and protection for vital organs. On the other hand, the appendicular skeleton includes the bones of the upper and lower limbs, shoulder girdle, and pelvic girdle, facilitating movement and flexibility. The divisions are based on the location and function of the bones within the skeletal system, making choices A, C, and D incorrect as they do not represent the primary divisions of the skeletal system.

5. Which of the following structures in the body is responsible for protecting the lungs and heart?

• A. Rib cage
• B. Pelvis
• C. Femur
• D. Vertebral column

Correct answer: A

Rationale: The rib cage is the correct answer. It plays a crucial role in protecting vital organs like the lungs and heart. The rib cage forms a protective barrier around these organs, shielding them from external trauma or injuries. It acts as a sturdy cage, offering structural support and safeguarding the delicate tissues and structures of the lungs and heart. The pelvis, femur, and vertebral column do not directly protect the lungs and heart; instead, they have other important functions in the body, such as supporting the body's weight, enabling movement, and protecting the spinal cord.

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