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. What is the primary function of the kidneys in the urinary system?

• A. Regulating blood pressure
• B. Filtering blood to remove waste
• C. Producing red blood cells
• D. Regulating electrolyte balance

Correct answer: B

Rationale: The primary function of the kidneys in the urinary system is to filter blood to remove waste products and excess fluids, which are then excreted as urine. Kidneys act as a filtration system, removing waste like urea, excess salts, and toxins. While the kidneys do play a role in regulating blood pressure by secreting renin and maintaining electrolyte balance by adjusting the levels of sodium, potassium, and other ions in the blood, their main and essential function is filtration and waste removal, making choice B the correct answer.

3. Which hormone is involved in regulating the sleep-wake cycle?

• A. Insulin
• B. Melatonin
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: The correct answer is B: Melatonin. Melatonin, produced by the pineal gland, is the hormone involved in regulating the sleep-wake cycle. It plays a crucial role in signaling the body that it is time to sleep and is influenced by light exposure. Melatonin levels typically rise in the evening, promoting sleep, and decrease in the morning, helping in waking up. Choice A, Insulin, is involved in regulating blood sugar levels, not the sleep-wake cycle. Choice C, Cortisol, is a stress hormone that helps regulate metabolism and immune response but is not primarily involved in the sleep-wake cycle. Choice D, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism, growth, and development, but it is not directly involved in regulating the sleep-wake cycle.

4. What is the primary function of hemoglobin in red blood cells?

• A. To transport nutrients
• B. To fight infections
• C. To carry oxygen
• D. To produce energy

Correct answer: C

Rationale: The correct answer is C: 'To carry oxygen.' Hemoglobin in red blood cells binds to oxygen in the lungs and transports it to the tissues and organs throughout the body. This oxygen transport is crucial for cellular respiration and the overall functioning of the body. Choices A, B, and D are incorrect because hemoglobin's primary function is not to transport nutrients, fight infections, or produce energy in red blood cells.

5. Which bone does not articulate with any other bone in the body?

• A. Scapula
• B. Hyoid
• C. Radius
• D. Femur

Correct answer: B

Rationale: The correct answer is B: Hyoid. The hyoid bone is the only bone in the body that does not articulate with any other bones. It is located in the neck and supports the tongue and other muscles involved in swallowing and speech. The scapula articulates with the clavicle and humerus, the radius with the ulna and humerus, and the femur with the pelvis and tibia. Choices A, C, and D are incorrect because they all articulate with other bones in the body.

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