Nursing Elites

1. The function of synergists can best be described as which of the following? I. They assist primary movers in completing the specific movement II. They stabilize the point of origin and provide extra pull near the insertion III. They help prevent unwanted movement at a joint

• A. I, II
• B. I, III
• C. II, III
• D. All of the above

Correct answer: A

Rationale: Synergists are muscles that assist the primary movers (agonists) in completing specific movements (I). Additionally, they stabilize the point of origin and provide extra pull near the insertion, aiding in movement efficiency (II). While synergists may contribute to stability, their primary role is to assist in movement rather than prevent unwanted movement at a joint; hence, options I and II offer the most accurate descriptions of their function. Choice B is incorrect because synergists do not primarily help prevent unwanted movement at a joint (III). Choice C is incorrect as it combines stabilization of the point of origin and preventing unwanted movement, which is not the primary function of synergists.

2. Which of the following is a pair of nerves that originates from the brain?

• A. Spinal nerves
• B. Olfactory nerves
• C. Sciatic nerve
• D. Optic nerve

Correct answer: B

Rationale: The olfactory nerves, choice B, are a pair of cranial nerves that originate from the brain. They are responsible for the sense of smell and are the only cranial nerves that directly connect to the cerebrum. Spinal nerves, choice A, originate from the spinal cord, the sciatic nerve, choice C, is a large nerve that originates in the lower back, and the optic nerve, choice D, originates from the retina of the eye. Therefore, choices A, C, and D are incorrect as they do not originate directly from the brain.

3. What is the scientific name for the kneecap?

• A. Patella
• B. Femur
• C. Tibia
• D. Fibula

Correct answer: A

Rationale: The correct answer is A: Patella. The patella is the scientific term for the kneecap, a small, flat, triangular bone situated in front of the knee joint. The femur, tibia, and fibula are also bones in the leg, but they are not synonymous with the kneecap. The femur is the thigh bone, the tibia is the shin bone, and the fibula is the outer lower leg bone. Therefore, the correct term for the kneecap specifically is the patella.

4. What are the three regions of the small intestine?

• A. Duodenum, ileum, jejunum
• B. Cecum, ileum, jejunum
• C. Duodenum, jejunum, ileum
• D. Duodenum, jejunum, colon

Correct answer: C

Rationale: The correct answer is C: Duodenum, jejunum, ileum. The small intestine is divided into three regions: the duodenum, jejunum, and ileum. The duodenum is the initial segment where most chemical digestion takes place. The jejunum and ileum follow the duodenum and are primarily responsible for nutrient absorption. Choice A is incorrect because the order is incorrect. Choice B is incorrect because the cecum is part of the large intestine, not the small intestine. Choice D is incorrect because the colon is part of the large intestine, not the small intestine.

5. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

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