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. Magnetic resonance imaging might be used to

• A. distinguish between normal and abnormal tissue.
• B. examine an injured knee.
• C. provide detailed images of the brain.
• D. do both A and B.

Correct answer: B

Rationale: Magnetic resonance imaging, commonly known as MRI, is a non-invasive imaging technique used to visualize internal structures of the body. While it can be used to distinguish between normal and abnormal tissue, one of its common applications is to examine musculoskeletal injuries, such as an injured knee. Choice A has been corrected to mention 'normal and abnormal tissue' instead of 'normal and cancerous tissue' as MRI is not solely used for cancer detection. Choice C is incorrect as MRI can provide detailed images of various body parts, not just limited to the brain. Therefore, the correct answer is to examine an injured knee.

3. Which of the following is the measurement of the percentage of red blood cells in whole blood?

• A. Hematocrit
• B. Hemoglobin
• C. Mean corpuscular volume
• D. Reticulocyte count

Correct answer: A

Rationale: The correct answer is 'Hematocrit.' Hematocrit is the measurement of the percentage of red blood cells in whole blood. It is used to diagnose conditions such as anemia and dehydration. Choice B, 'Hemoglobin,' measures the amount of hemoglobin in the blood, not the percentage of red blood cells. Choice C, 'Mean corpuscular volume,' measures the average volume of a red blood cell, not the percentage of red blood cells. Choice D, 'Reticulocyte count,' measures the percentage of young red blood cells in the blood, not the percentage of red blood cells.

4. Which of the following are vital signs?

• A. Body temperature, blood pressure, and pulse rate
• B. Appearance of the skin, red blood cell count, oxygen level
• C. Body weight, age, gender
• D. Visual acuity and auditory sharpness

Correct answer: A

Rationale: The correct answer is A: Body temperature, blood pressure, and pulse rate. Vital signs are measurements that indicate the body's basic functions and are essential indicators of health. Body temperature, blood pressure, and pulse rate are classic vital signs routinely checked in medical settings to assess a person's overall health status. Choices B, C, and D are not considered vital signs. The appearance of the skin, red blood cell count, and oxygen level may provide valuable health information but are not classified as vital signs. Similarly, body weight, age, and gender are important factors in healthcare but are not vital signs. Visual acuity and auditory sharpness relate to sensory functions and are not typically categorized as vital signs.

5. Which of the following substances is involved in the destruction of ingested pathogens?

• A. lymphatic fluid
• B. stomach acid
• C. bicarbonate
• D. lipase

Correct answer: B

Rationale: The correct answer is stomach acid. Stomach acid, also known as gastric acid, plays a crucial role in destroying ingested pathogens due to its high acidity. The low pH of stomach acid helps to kill bacteria and other pathogens that may be present in the food we consume. Lymphatic fluid is involved in immune function and fat absorption, not pathogen destruction. Bicarbonate is a base that neutralizes stomach acid to prevent damage to the stomach lining. Lipase is an enzyme that aids in the digestion of fats but is not involved in pathogen destruction.

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