Nursing Elites

1. Muscle tissue is responsible for movement. Which type of muscle tissue is found in the heart?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. All of the above

Correct answer: C

Rationale: Cardiac muscle is the type of muscle tissue found in the heart. Unlike skeletal muscle and smooth muscle, cardiac muscle is striated and involuntary, meaning it contracts without conscious control. It forms the majority of the heart's structure and is essential for its rhythmic contraction to pump blood throughout the body. Skeletal muscle is attached to bones and responsible for voluntary movements, while smooth muscle is found in organs and blood vessels, controlling various involuntary functions like digestion and blood flow. Therefore, choices A (Skeletal muscle) and B (Smooth muscle) are incorrect as they are not the types of muscle tissue found in the heart.

2. What is the unit of measurement for momentum?

• A. Newton-second (N·s)
• B. Kilogram-meter (kg·m)
• C. Joule (J)
• D. Meter per second (m/s)

Correct answer: A

Rationale: The correct unit of measurement for momentum is Newton-second (N·s). Momentum is calculated as the product of an object's mass and its velocity. The unit of mass is kilograms (kg) and the unit of velocity is meters per second (m/s). Therefore, the unit of momentum is kilogram-meter per second (kg·m/s). By Newton's second law of motion (F = ma), force is measured in Newtons (N), which is equivalent to kg·m/s². Multiplying the unit of force (N) by the unit of time (s) gives the unit of momentum as Newton-second (N·s). Choice B, Kilogram-meter (kg·m), is incorrect because it represents the unit of work or energy, not momentum. Choice C, Joule (J), is incorrect as it is a unit of energy. Choice D, Meter per second (m/s), is incorrect as it represents velocity alone, not momentum which is a vector quantity involving mass and velocity.

3. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

4. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

5. What is the structure that surrounds individual muscle fibers, providing support and aiding in the transmission of force generated during muscle contraction?

• A. Tendon
• B. Endomysium
• C. Perimysium
• D. Epimysium

Correct answer: B

Rationale: The endomysium is the connective tissue layer that surrounds individual muscle fibers, providing support and aiding in the transmission of force generated during muscle contraction. It is crucial for maintaining the structural integrity of muscle fibers and facilitating the transmission of force within them. Tendons (option A) connect muscles to bones, perimysium (option C) surrounds bundles of muscle fibers known as fascicles, and epimysium (option D) encases the entire muscle. The endomysium specifically targets the structure that directly supports and aids in force transmission within individual muscle fibers, making it the correct answer in this context.

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