Nursing Elites

1. During micturition, the process involves a combination of:

• A. Gravity alone
• B. Voluntary muscle contractions only
• C. Involuntary muscle contractions only
• D. Both voluntary and involuntary muscle contractions

Correct answer: D

Rationale: During micturition, which is the process of urination, both voluntary and involuntary muscle contractions are involved. Voluntary muscle contractions include the relaxation of the external urethral sphincter, allowing the release of urine, while involuntary muscle contractions involve the detrusor muscle in the bladder contracting to expel urine. Choices A, B, and C are incorrect because micturition is not solely dependent on gravity, voluntary muscle contractions, or involuntary muscle contractions alone. The correct answer is D as both types of muscle contractions are necessary for the complete process of urination.

2. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

3. What is the process of cell division in somatic (most body) cells called?

• A. Mitosis
• B. Meiosis
• C. Respiration
• D. Cytogenesis

Correct answer: A

Rationale: Mitosis is the correct answer. It is the process of cell division in somatic cells, leading to the formation of two identical daughter cells with the same number of chromosomes as the parent cell. Meiosis, on the other hand, is the type of cell division that occurs in sex cells, leading to the formation of gametes with half the number of chromosomes. Respiration is a completely different biological process related to energy production, and cytogenesis is not a recognized term for cell division.

4. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

5. Which of the following lists of joint types is in the correct order for increasing amounts of permitted motion (least mobile to most mobile)?

• A. Hinge, condyloid, saddle
• B. Saddle, hinge, condyloid
• C. Saddle, condyloid, hinge
• D. Hinge, saddle, condyloid

Correct answer: A

Rationale: The correct order of joint types, from least mobile to most mobile, is hinge, condyloid, saddle. A hinge joint allows movement in one plane (like a door hinge), a condyloid joint allows movement in two planes but not rotation (like the wrist), and a saddle joint allows movement in multiple directions (like the thumb). Choice A, 'Hinge, condyloid, saddle,' is the correct sequence as it accurately represents the order of increasing permitted motion in joints. Choices B, C, and D are incorrect because they do not follow the correct order of joint types from least mobile to most mobile as required by the question.

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