Nursing Elites

1. Lowering the hand by straightening the elbow affects which of the following muscles?

• A. biceps brachii
• B. triceps brachii
• C. brachialis
• D. brachioradialis

Correct answer: B

Rationale: Lowering the hand by straightening the elbow is the action of extending the forearm, which is primarily done by the triceps brachii muscle. The triceps brachii is the main extensor muscle of the elbow joint. The biceps brachii is responsible for flexing the elbow, not extending it, making it an incorrect choice. Brachialis is a strong elbow flexor, and brachioradialis helps in flexing the elbow and pronating the forearm, so they are not the primary muscles involved in straightening the elbow.

2. A parietal layer of a serous membrane lines cavities, whereas a visceral layer of a serous membrane covers organs.

• A. covers organs; lines cavities
• B. lines cavities; covers organs
• C. secretes serous fluid; secretes mucus
• D. secretes mucus; secretes a serous fluid

Correct answer: B

Rationale: In serous membranes, the parietal layer lines the cavities, providing support and protection, while the visceral layer covers the organs, reducing friction and allowing them to move freely. Therefore, the correct answer is 'lines cavities; covers organs.' Choices C and D are incorrect because serous membranes do not secrete mucus; instead, they secrete a watery serous fluid. Choice A is incorrect as it reverses the functions of the parietal and visceral layers in relation to organs and cavities.

3. What causes wrinkled and sagging skin?

• A. Drinking too much water
• B. Heredity alone
• C. Loss of subcutaneous fat and reduced levels of elastin and collagen
• D. Excess subcutaneous fat

Correct answer: C

Rationale: Wrinkled and sagging skin is primarily caused by the loss of subcutaneous fat and reduced levels of elastin and collagen in the skin. Choice A is incorrect as drinking too much water does not lead to wrinkled and sagging skin. Choice B is incorrect because heredity alone does not cause this condition. Excess subcutaneous fat, as mentioned in Choice D, can contribute to a different skin appearance, such as puffiness, but not wrinkled and sagging skin.

4. Is the elbow distal to the wrist?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: B

Rationale: The correct answer is False. In anatomical terms, 'distal' means farther away from the center of the body or the point of attachment. The elbow is proximal to the wrist because it is closer to the center of the body. Therefore, the statement that the elbow is distal to the wrist is incorrect. Choice A is incorrect because the elbow is not distal to the wrist. Choice C is incorrect as the anatomical relationship between the elbow and wrist can be determined. Choice D is incorrect as there is a definitive answer to this anatomical question.

5. Which of the following is not true of organelles?

• A. They carry out specific activities.
• B. They are only present in human cells.
• C. They are composed of aggregates of large molecules.
• D. They are found in many types of cells.

Correct answer: B

Rationale: Organelles are not exclusive to human cells but are present in various types of cells across different organisms. Option B is incorrect as it suggests that organelles are only found in human cells, which is false. Choices A, C, and D are correct statements about organelles. Organelles indeed carry out specific activities, are made up of aggregates of large molecules, and can be found in many types of cells.

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