Nursing Elites

1. 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.

2. The skull is positioned ________ to the spinal cord.

• A. anterior
• B. posterior
• C. lateral
• D. superior

Correct answer: D

Rationale: The correct answer is D. The skull is superior to the spinal cord, meaning it is located above the spinal cord in anatomical position. Superior in anatomy refers to a structure being positioned higher or above another structure in the body. Choices A, B, and C are incorrect because they refer to different directional relationships. Anterior means in front of, posterior means behind, and lateral means to the side. In this case, the relationship between the skull and the spinal cord is based on a superior-inferior orientation.

3. What is the function of the medulla oblongata in the brain?

• A. To control breathing and heart rate
• B. To regulate body temperature
• C. To coordinate voluntary movements
• D. To process sensory information

Correct answer: A

Rationale: The correct answer is A: To control breathing and heart rate. The medulla oblongata is a vital part of the brainstem responsible for regulating essential functions such as breathing, heart rate, and blood pressure. These functions are crucial for maintaining life, and the medulla oblongata plays a key role in ensuring the body's survival. Choices B, C, and D are incorrect because regulating body temperature is primarily controlled by the hypothalamus, coordinating voluntary movements is associated with the cerebellum and motor cortex, and processing sensory information is related to the thalamus and sensory cortex, not the medulla oblongata.

4. Which hormone is produced by the adrenal medulla?

• A. Insulin
• B. Adrenaline
• C. Cortisol
• D. Melatonin

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is the correct hormone produced by the adrenal medulla. It plays a crucial role in the body's fight-or-flight response, increasing heart rate, dilating airways, and mobilizing energy stores to prepare the body for perceived threats. Insulin (Choice A) is produced by the pancreas and regulates blood sugar levels, not by the adrenal medulla. Cortisol (Choice C) is produced by the adrenal cortex and is involved in regulating metabolism, immune response, and stress. Melatonin (Choice D) is produced by the pineal gland and regulates the sleep-wake cycle.

5. Which muscle is responsible for breathing?

• A. Diaphragm
• B. Intercostal muscles
• C. Rectus abdominis
• D. Pectoralis major

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for breathing. It is a large, dome-shaped muscle located at the base of the chest cavity. When it contracts, it flattens, increasing the volume of the chest cavity and causing inhalation. When it relaxes, it returns to its dome shape, decreasing the volume of the chest cavity and causing exhalation. The intercostal muscles, located between the ribs, assist the diaphragm in breathing by expanding and contracting the chest cavity. The rectus abdominis and pectoralis major are not directly involved in the process of breathing.

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