Nursing Elites

1. How do the muscular and skeletal systems collaborate to facilitate movement?

• A. Muscles attached to tendons contract to bend the skeleton at the joints.
• B. The hard bones of the skeleton protect the voluntary muscles of the limbs.
• C. The cardiac muscles produce calcium that is needed for sturdy bones.
• D. Smooth muscles on internal organs leach excess minerals from the bones.

Correct answer: A

Rationale: The muscular system and the skeletal system collaborate to facilitate movement. Muscles are connected to bones through tendons and contract to generate movement at the joints. When muscles contract, they exert force on the bones, resulting in actions like bending the arm or leg. This coordinated effort between muscles and bones is crucial for various activities such as walking, running, and grasping objects. Choices B, C, and D are incorrect because they do not accurately describe the interaction between the muscular and skeletal systems. The skeletal system's primary role is to provide structural support and protect internal organs, while cardiac muscles are responsible for heart function and not bone strength. Smooth muscles are found in internal organs and are not involved in leaching excess minerals from bones.

2. Which gland produces melatonin?

• A. Pineal gland
• B. Thyroid gland
• C. Adrenal gland
• D. Pituitary gland

Correct answer: A

Rationale: The correct answer is the Pineal gland. This gland is responsible for producing melatonin, a hormone that helps regulate the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels typically rising in the evening to promote sleep and falling in the morning to aid wakefulness. The Thyroid gland (choice B) produces hormones that regulate metabolism, the Adrenal gland (choice C) produces hormones like adrenaline and cortisol, and the Pituitary gland (choice D) controls several other glands in the endocrine system.

3. What structures are likely torn in a rotator cuff tear?

• A. Tendon and possibly ligament
• B. Muscle and possibly tendon
• C. Ligament and possibly muscle
• D. Tendon only

Correct answer: A

Rationale: In a rotator cuff tear, the most common structures torn are the tendons of the rotator cuff muscles. In severe cases, the tear may also extend to involve the surrounding ligaments. Therefore, the correct answer is A, as it accurately represents the structures that are likely to be affected in a rotator cuff tear. Choice B is incorrect as muscles are not typically torn in a rotator cuff tear. Choice C is also incorrect as ligaments are not the primary structures involved in a rotator cuff tear. Choice D is incorrect because a rotator cuff tear typically involves more than just the tendons.

4. How might the headrest on a car prevent traumatic injury?

• A. By limiting hyperflexion of the neck
• B. By limiting hyperextension of the neck
• C. By reducing vertebral compression
• D. By preventing disc degeneration

Correct answer: B

Rationale: The headrest on a car is designed to prevent traumatic injury by limiting hyperextension of the neck during a rear-end collision. This helps reduce the risk of whiplash and other neck injuries that may occur when the head is forcefully thrown backward. Choice A is incorrect because hyperflexion is not the primary concern in rear-end collisions. Choice C is incorrect as the headrest does not directly reduce vertebral compression. Choice D is incorrect because the headrest is not directly involved in preventing disc degeneration.

5. Which of the following epithelial types is correctly matched with its major function?

• A. Simple squamous epithelium – diffusion
• B. Stratified squamous epithelium – protection
• C. Stratified squamous epithelium – diffusion
• D. Simple columnar epithelium – secretion or absorption

Correct answer: D

Rationale: The correct answer is D. Simple columnar epithelium is indeed primarily responsible for secretion and absorption due to its tall shape and presence of microvilli, which increase surface area for these functions. Simple squamous epithelium is mainly involved in diffusion, allowing for the exchange of gases or nutrients. Stratified squamous epithelium functions more for protection against mechanical stress and pathogens, as it forms a tough, protective barrier due to its many layers.

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