Nursing Elites

1. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

2. Which type of muscle tissue is found in the walls of hollow organs?

• A. Skeletal muscle
• B. Cardiac muscle
• C. Smooth muscle
• D. Striated muscle

Correct answer: C

Rationale: Smooth muscle tissue is found in the walls of hollow organs such as the intestines, blood vessels, and bladder. It contracts involuntarily, allowing for functions like peristalsis in the intestines and regulation of blood flow in blood vessels. Skeletal muscle (Choice A) is attached to bones, cardiac muscle (Choice B) is found in the heart, and striated muscle (Choice D) refers to both skeletal and cardiac muscles due to their striped appearance, but neither of these types are typically found in the walls of hollow organs.

3. Which muscle is involved in the flexion of the forearm?

• A. Biceps brachii
• B. Triceps brachii
• C. Deltoid
• D. Brachialis

Correct answer: A

Rationale: The biceps brachii muscle is the primary muscle responsible for flexing the forearm at the elbow joint. When the biceps brachii contracts, it causes the forearm to move towards the upper arm, resulting in flexion at the elbow. In contrast, the triceps brachii is responsible for extending the forearm, the deltoid muscle is primarily involved in shoulder movements, and the brachialis muscle also aids in flexion of the forearm but to a lesser extent compared to the biceps brachii.

4. What is the primary role of the stomach in the digestive system?

• A. To absorb nutrients
• B. To break down food
• C. To secrete digestive enzymes
• D. To store glucose

Correct answer: B

Rationale: The primary role of the stomach in the digestive system is to break down food. It accomplishes this through the action of gastric acid and digestive enzymes, which work together to break down food into a semi-liquid mixture known as chyme. Option B, 'To break down food,' is the correct answer. Option A, 'To absorb nutrients,' is incorrect because absorption mainly occurs in the small intestine. Option C, 'To secrete digestive enzymes,' is partially correct as the stomach does secrete digestive enzymes, but its primary function is to break down food. Option D, 'To store glucose,' is incorrect as glucose storage primarily occurs in the liver and muscles, not the stomach.

5. What role does the liver play in metabolism?

• A. To produce bile
• B. To detoxify harmful substances
• C. To store glucose
• D. To produce insulin

Correct answer: B

Rationale: The correct answer is B: 'To detoxify harmful substances.' The liver is primarily responsible for detoxifying harmful substances present in the blood as part of its role in metabolism. While the liver does produce bile to aid in digestion and stores glucose for energy regulation, its main function in metabolism is detoxification. The liver does not produce insulin; insulin is produced by the pancreas to regulate blood sugar levels.

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