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. Where does primary peristalsis occur?

• A. Esophagus
• B. Stomach
• C. Nervous system
• D. Small intestine

Correct answer: A

Rationale: Primary peristalsis occurs in the esophagus. Peristalsis is the coordinated muscular contractions that propel food through the digestive tract. In the esophagus, primary peristalsis is the involuntary wave-like contractions that push food from the mouth to the stomach. It is the natural and automatic process that occurs to facilitate the movement of food during digestion. The stomach (choice B), nervous system (choice C), and small intestine (choice D) are not the primary sites where peristalsis occurs in the digestive system.

3. What is the normal pH of human arterial blood?

• A. 6.8
• B. 7.4
• C. 7.9
• D. 8.2

Correct answer: B

Rationale: The normal pH of human arterial blood is approximately 7.4. This slightly alkaline pH is crucial for the proper functioning of enzymes and biochemical processes in the body. Any significant deviation from this pH level can result in serious health issues such as acidosis or alkalosis. Choice A (6.8) is incorrect as it is lower than the normal pH of arterial blood, indicating acidity. Choice C (7.9) and Choice D (8.2) are incorrect as they are higher than the normal pH of arterial blood, indicating alkalinity.

4. Which hormone regulates the sleep-wake cycle?

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

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. Its secretion is influenced by light exposure, with levels typically rising in the evening to promote sleep and falling in the morning to encourage wakefulness. Insulin is involved in regulating blood sugar levels, not the sleep-wake cycle. Cortisol plays a role in the body's stress response and circadian rhythm but is not the primary hormone regulating sleep-wake cycles. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle.

5. Which part of the brain is responsible for controlling balance and coordination?

• A. Cerebellum
• B. Cerebrum
• C. Brainstem
• D. Medulla oblongata

Correct answer: A

Rationale: The cerebellum is the correct answer. It is responsible for controlling balance, coordination, and fine motor movements. The cerebrum is mainly associated with higher brain functions such as thinking and decision-making, not specifically balance and coordination. The brainstem is responsible for basic life functions like breathing and heartbeat, while the medulla oblongata is involved in regulating autonomic functions like breathing, heart rate, and blood pressure. Therefore, the cerebellum stands out as the key brain region for maintaining physical control and movement.

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