Nursing Elites

1. 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.

2. What is the maximum capacity of a normal adult bladder before involuntary micturition is likely to occur?

• A. 800-900ml
• B. 300-600ml
• C. 1000-2000ml
• D. 400-700ml

Correct answer: B

Rationale: The correct answer is B: 300-600ml. A normal adult bladder can hold approximately 300-600ml of urine before the urge to urinate becomes strong and involuntary micturition is likely to occur. Choice A (800-900ml), Choice C (1000-2000ml), and Choice D (400-700ml) all exceed the typical capacity of a normal adult bladder and would generally not be accurate in the context of involuntary micturition.

3. What effect does aldosterone secretion have on electrolyte levels?

• A. Calcium levels are decreased
• B. Sodium levels are increased
• C. Potassium levels are increased
• D. Magnesium levels are decreased

Correct answer: B

Rationale: Aldosterone is a hormone that primarily acts on the kidneys to increase the reabsorption of sodium and water into the bloodstream. As a result, sodium levels are increased. Choices A, C, and D are incorrect. Aldosterone does not significantly affect calcium, potassium, or magnesium levels.

4. What is the most useful application of ultrasonography for diagnostic examination?

• A. dense organs, such as bones.
• B. air-filled organs, such as lungs.
• C. soft internal structures, such as fetuses.
• D. microscopic structures.

Correct answer: C

Rationale: Ultrasonography is a medical imaging technique that uses sound waves to visualize internal body structures. It is particularly effective for examining soft tissues like organs, blood vessels, and fetuses. Choice A is incorrect because bones are better visualized using techniques like X-rays. Choice B is incorrect as air-filled organs like lungs are not well visualized with ultrasound due to air being a poor conductor of sound waves. Choice D is incorrect since ultrasonography cannot visualize structures at a microscopic level, as it is used for larger internal structures.

5. Which of the following structures, located at the end of the ear canal, vibrates when sound waves strike it?

• A. Acoustic meatus
• B. Cochlea
• C. Eustachian tube
• D. Tympanic membrane

Correct answer: D

Rationale: The correct answer is the Tympanic membrane. The tympanic membrane, also known as the eardrum, is located at the end of the ear canal and vibrates when sound waves strike it. This vibration is then transmitted to the ossicles in the middle ear, which amplify and transmit the sound to the inner ear. Choice A, the Acoustic meatus, is incorrect as it is the ear canal itself, not the structure that vibrates. Choice B, the Cochlea, is responsible for translating sound vibrations into electrical signals but is not located at the end of the ear canal. Choice C, the Eustachian tube, is responsible for equalizing pressure between the middle ear and the atmosphere and is not involved in vibration from sound waves.

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