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 most visible part of the ear?

• A. Ear canal
• B. Cochlea
• C. Organ of Corti
• D. Pinna

Correct answer: D

Rationale: The pinna, also known as the auricle, is the most visible part of the ear. Its external shape and location make it easily noticeable on the side of the head. The pinna helps in capturing sound waves and directing them into the ear canal, where the sound transmission process begins. The other structures listed, the Organ of Corti, Cochlea, and Ear canal, are essential parts of the ear involved in hearing and sound processing, but they are not as visibly prominent as the pinna. Therefore, the correct answer is the pinna because of its external visibility and role in capturing sound waves.

4. Which cellular structure is responsible for protein synthesis?

• A. Nucleus
• B. Ribosome
• C. Endoplasmic reticulum
• D. Golgi apparatus

Correct answer: B

Rationale: The correct answer is B: Ribosome. Ribosomes, the cellular structures located in the cytoplasm or on the endoplasmic reticulum, are responsible for protein synthesis in the cell. They are the sites where mRNA is translated into proteins, making them essential for the synthesis of proteins in all living cells. The other choices, such as the nucleus (choice A), endoplasmic reticulum (choice C), and Golgi apparatus (choice D), are not directly involved in protein synthesis. The nucleus contains DNA and is responsible for housing the genetic material, the endoplasmic reticulum is involved in protein folding and transport, and the Golgi apparatus is responsible for modifying, sorting, and packaging proteins.

5. What type of joint is found in the elbow?

• A. Ball and socket joint
• B. Hinge joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is a hinge joint. The elbow joint is a hinge joint that allows for flexion and extension movements, much like the movement of a door hinge. This type of joint permits movement in one plane, similar to the action of opening and closing a door. The other choices are incorrect: A) Ball and socket joints allow for a wide range of motion in multiple directions, such as the hip and shoulder joints. C) Pivot joints allow rotation around a single axis, like the joint at the top of the neck that allows the head to turn from side to side. D) Saddle joints are found in the thumb and have a biaxial range of motion allowing flexion, extension, adduction, abduction, and circumduction.

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