Nursing Elites

1. Which of the following is not part of the axial skeletal system?

• A. the skull
• B. the ribs
• C. the breastbone
• D. the radius

Correct answer: D

Rationale: The correct answer is D, the radius. The axial skeleton comprises bones located along the central axis of the body. It includes the skull, ribs, breastbone (sternum), vertebrae, and sacrum. The radius, on the other hand, is a bone of the forearm, part of the appendicular skeleton. The appendicular skeleton consists of the bones of the limbs and their girdles, not the central axial bones.

2. Which fibrous connective tissue attaches muscles to bones?

• A. Tendons
• B. Ligaments
• C. Cartilage
• D. Fascia

Correct answer: A

Rationale: Tendons are fibrous connective tissues that attach muscles to bones, allowing the transmission of forces generated by muscles and facilitating movement at joints. Ligaments, on the other hand, connect bones to other bones, providing stability. Cartilage is a firm, flexible connective tissue found in joints and the respiratory tract. Fascia surrounds muscles, groups of muscles, blood vessels, and nerves, offering support and protection. Therefore, the correct answer is tendons as they specifically connect muscles to bones.

3. Which plane would you use to separate the abdominal cavity from the thoracic cavity?

• A. Sagittal
• B. Transverse
• C. Frontal
• D. Coronal

Correct answer: B

Rationale: The transverse plane, also known as the horizontal plane, runs horizontally from left to right, dividing the body into superior (upper) and inferior (lower) parts. This plane is ideal for separating the abdominal cavity (located below) from the thoracic cavity (located above). The sagittal plane (choice A) divides the body into left and right portions, the frontal plane (choice C) divides the body into front and back portions, and the coronal plane (choice D) is another term for the frontal plane. Therefore, when looking to separate the abdominal cavity from the thoracic cavity, the transverse plane is the most appropriate choice.

4. Which structure in the brain is involved in regulating body temperature?

• A. Cerebellum
• B. Hypothalamus
• C. Medulla oblongata
• D. Pineal gland

Correct answer: B

Rationale: The correct answer is B, the Hypothalamus. The hypothalamus plays a crucial role in regulating body temperature, hunger, thirst, and other autonomic functions, aiding in the maintenance of homeostasis within the body. It acts as the body's thermostat, responding to internal and external temperature changes to keep the body within a narrow temperature range. Choices A, C, and D are incorrect. The cerebellum is mainly involved in coordinating voluntary movements and balance. The medulla oblongata controls vital functions such as heartbeat and breathing. The pineal gland is responsible for producing melatonin, which regulates sleep-wake cycles.

5. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

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