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 will a person who has damage to their ulnar nerve experience decreased sensation?

• A. Leg
• B. Arm
• C. Face
• D. Abdomen

Correct answer: B

Rationale: The ulnar nerve innervates the forearm and hand, specifically providing sensation to the ring and little fingers. Damage to this nerve can lead to decreased sensation in these areas, making the arm the correct answer. Choices A, C, and D are incorrect because the ulnar nerve does not supply sensation to the leg, face, or abdomen.

3. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

4. What are the chemical messengers that control growth, differentiation, and metabolism of specific target cells called?

• A. Hormones
• B. Neurons
• C. Glands
• D. Second messengers

Correct answer: A

Rationale: Hormones are signaling molecules produced by glands in multicellular organisms. They travel through the bloodstream to specific target cells where they regulate various physiological processes, including growth, differentiation, and metabolism. Neurons (choice B) are nerve cells that transmit nerve impulses and are not responsible for controlling growth, differentiation, or metabolism. Glands (choice C) produce and release hormones but are not the chemical messengers themselves. Second messengers (choice D) are molecules involved in intracellular signal transduction, not the primary chemical messengers controlling growth, differentiation, and metabolism. Therefore, hormones (choice A) are the correct answer as they match the description provided in the question.

5. The hypothalamus is part of the ___________.

• A. cardiovascular system
• B. endocrine system
• C. respiratory system
• D. lymphatic system

Correct answer: B

Rationale: The hypothalamus is a small region of the brain that plays a crucial role in linking the nervous system to the endocrine system. It helps regulate various bodily functions by releasing hormones that signal the pituitary gland to release other hormones that control metabolism, growth, reproduction, sleep, and other important processes. Therefore, the hypothalamus is a key component of the endocrine system. Choices A, C, and D are incorrect because the hypothalamus is not part of the cardiovascular, respiratory, or lymphatic systems.

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