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 hormone is released by the adrenal medulla?

• A. Cortisol
• B. Adrenaline
• C. Insulin
• D. Somatostatin

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

3. Which of the following epithelial types is correctly matched with its major function?

• A. Simple squamous epithelium – diffusion
• B. Stratified squamous epithelium – protection
• C. Stratified squamous epithelium – diffusion
• D. Simple columnar epithelium – secretion or absorption

Correct answer: D

Rationale: The correct answer is D. Simple columnar epithelium is indeed primarily responsible for secretion and absorption due to its tall shape and presence of microvilli, which increase surface area for these functions. Simple squamous epithelium is mainly involved in diffusion, allowing for the exchange of gases or nutrients. Stratified squamous epithelium functions more for protection against mechanical stress and pathogens, as it forms a tough, protective barrier due to its many layers.

4. Which of the heart's four chambers is the largest and the strongest?

• A. Right atrium
• B. Left ventricle
• C. Right ventricle
• D. Left atrium

Correct answer: B

Rationale: The left ventricle is the largest and strongest chamber of the heart. It pumps oxygenated blood to the body, making it vital for systemic circulation. The right atrium receives deoxygenated blood from the body, the right ventricle pumps this blood to the lungs, and the left atrium receives oxygenated blood from the lungs.

5. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

• A. Pleura
• B. Trachea
• C. Bronchioles
• D. Alveoli

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

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