Nursing Elites

1. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

2. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: A ball-and-socket joint allows for the most movement among the options provided. This type of joint is characterized by a rounded end of one bone fitting into a cup-like socket of another bone, allowing for a wide range of motion in multiple directions. The shoulder joint is a prime example of a ball-and-socket joint, enabling movements such as flexion, extension, abduction, adduction, and rotation. In contrast, a hinge joint (option B) like the elbow primarily allows for movement in one plane (flexion and extension). Fibrocartilaginous joints (option C) like the wrists have limited movement due to the presence of cartilage between the bones. Suture joints (option D) in the skull are immovable joints that provide structural support but do not allow for significant movement.

3. The lymphatic system is a network of vessels and organs that plays a vital role in:

• A. Transporting oxygen and nutrients to cells
• B. Carrying waste products away from tissues
• C. Regulating body temperature
• D. Producing red blood cells

Correct answer: B

Rationale: The correct answer is B: Carrying waste products away from tissues. The lymphatic system functions to maintain fluid balance in the body by removing excess fluid, filtering out harmful substances, and transporting waste products away from tissues. It does not primarily focus on transporting oxygen and nutrients to cells, regulating body temperature, or producing red blood cells. Choices A, C, and D are incorrect as the primary function of the lymphatic system is related to waste removal and maintaining fluid balance in the body, rather than roles such as nutrient transport, temperature regulation, or red blood cell production.

4. What type of joint connects the bones of the skull?

• A. Hinge joint
• B. Fibrous joint
• C. Ball-and-socket joint
• D. Pivot joint

Correct answer: B

Rationale: The correct answer is B: Fibrous joint. Fibrous joints connect the bones of the skull, providing stability with little to no movement. These joints are made of fibrous connective tissue, which holds the bones tightly together and prevents movement, making them ideal for the structure of the skull. Choice A: Hinge joint is incorrect because hinge joints allow movement in a single plane like the elbow or knee, which is not characteristic of the joints in the skull. Choice C: Ball-and-socket joint is incorrect as this type of joint allows for a wide range of movement in multiple planes, such as the hip and shoulder joints, which is not the case for skull bones. Choice D: Pivot joint is incorrect as pivot joints allow rotation around a central axis, as seen in the joint between the first and second cervical vertebrae (atlas and axis), but not in the skull bones.

5. What cells compose the epidermis?

• A. Keratinocytes
• B. Epithelial cells
• C. Fibroblasts
• D. Melanocytes

Correct answer: A

Rationale: The correct answer is A - Keratinocytes. The epidermis is primarily composed of keratinocytes, which are a type of epithelial cell. Keratinocytes synthesize the protein keratin, providing protection against physical damage and water loss. While epithelial cells are correct, specifying keratinocytes is more precise. Fibroblasts are not the main cell type in the epidermis; they are found in the dermis, where they produce collagen and other extracellular matrix components. Melanocytes are responsible for producing melanin pigment in the skin and are also present in the epidermis, but they are not the predominant cell type like keratinocytes.

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