Nursing Elites

1. What happens when the diaphragm contracts?

• A. Air is expelled from the lungs.
• B. The lungs expand to allow air intake.
• C. The vocal cords vibrate to produce sound.
• D. The trachea narrows to control airflow.

Correct answer: B

Rationale: When the diaphragm contracts, it moves downward, creating more space in the chest cavity. This expansion of the chest cavity causes the lungs to expand as well, allowing air to be drawn into the lungs during inhalation. Therefore, the correct answer is that the lungs expand to allow air intake when the diaphragm contracts. Choices A, C, and D are incorrect because when the diaphragm contracts, it does not expel air from the lungs, cause the vocal cords to vibrate, or narrow the trachea to control airflow.

2. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: A ball-and-socket joint allows for the most movement among the options provided. This type of joint is characterized by a rounded end of one bone fitting into a cup-like socket of another bone, allowing for a wide range of motion in multiple directions. The shoulder joint is a prime example of a ball-and-socket joint, enabling movements such as flexion, extension, abduction, adduction, and rotation. In contrast, a hinge joint (option B) like the elbow primarily allows for movement in one plane (flexion and extension). Fibrocartilaginous joints (option C) like the wrists have limited movement due to the presence of cartilage between the bones. Suture joints (option D) in the skull are immovable joints that provide structural support but do not allow for significant movement.

3. What potential consequences can chromosomal nondisjunction have on offspring?

• A. Down syndrome, caused by an extra copy of chromosome 21.
• B. Turner syndrome, characterized by the absence of one X chromosome in females.
• C. Klinefelter syndrome, featuring one or more extra X chromosomes in males.
• D. All of the above.

Correct answer: D

Rationale: - Chromosomal nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division, leading to an abnormal number of chromosomes in the resulting cells. - Down syndrome is caused by an extra copy of chromosome 21, resulting from nondisjunction during meiosis. Individuals with Down syndrome have three copies of chromosome 21 instead of the usual two. - Turner syndrome is characterized by the absence of one X chromosome in females, leading to a variety of physical and developmental features. - Klinefelter syndrome features one or more extra X chromosomes in males, typically resulting in infertility and other physical characteristics. Therefore, chromosomal nondisjunction can lead to various genetic disorders such as Down syndrome, Turner syndrome, and Klinefelter syndrome, making option D the correct answer.

4. Which of the following does not describe a general trait of macromolecules?

• A. They can exist as single chains.
• B. They can be branched.
• C. They all contain carbon, hydrogen, and phosphorus.
• D. They are all used by the body.

Correct answer: C

Rationale: The correct answer is C. While many macromolecules contain carbon, hydrogen, and phosphorus, not all of them do. For example, lipids, a type of macromolecule, may not contain phosphorus. Choice A and B describe structural features that macromolecules can exhibit, whether as single chains or branched forms. Choice D is incorrect as not all macromolecules are used by the body, such as synthetic polymers or certain non-digestible fibers.

5. From which type of tissue is the myelin sheath derived, a fatty substance that insulates nerve fibers?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath, a fatty substance that insulates nerve fibers, is derived from nervous tissue, specifically glial cells. Glial cells, including oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system, are responsible for producing the myelin sheath that surrounds and insulates nerve fibers, aiding in the conduction of nerve impulses. Epithelial tissue (Choice A), Muscle tissue (Choice B), and Connective tissue (Choice D) are not responsible for producing the myelin sheath; instead, nervous tissue (glial cells) plays this crucial role.

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