Nursing Elites

1. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels primarily due to muscle contractions and breathing movements and also with the help of one-way valves within the vessels. The lymphatic system lacks a central pump like the heart; hence, it relies on the contraction of surrounding muscles and breathing movements to propel lymph fluid. One-way valves within the lymphatic vessels prevent backflow and ensure the unidirectional flow of lymph. Option A is incorrect as the lymphatic system does not rely on the pumping action of the heart. Option D is incorrect as the correct answer is the combination of muscle contractions, breathing movements, and one-way valves, not all the options provided.

2. How does an increase in surface area affect the force of friction between two surfaces?

• A. Increases friction
• B. Decreases friction
• C. Has no effect on friction
• D. Causes unpredictable changes in friction

Correct answer: A

Rationale: An increase in surface area typically increases the force of friction between two surfaces. This is because with a larger surface area in contact, there are more points of contact between the surfaces, leading to a greater frictional force resisting motion. As a result, the correct answer is that an increase in surface area increases the force of friction between two surfaces. Choice B is incorrect because a greater surface area increases the frictional force. Choice C is incorrect because an increase in surface area results in more contact points and greater friction. Choice D is incorrect as the relationship between surface area and friction is predictable - an increase in surface area generally leads to an increase in frictional force.

3. Which of the following is a MAJOR consequence of a stroke?

• A. Irregular heart rhythm.
• B. Rapid weight gain or loss.
• C. Brain damage due to interrupted blood flow.
• D. Chronic fatigue and muscle weakness.

Correct answer: C

Rationale: A major consequence of a stroke is brain damage due to interrupted blood flow. Strokes occur when blood flow to the brain is blocked or reduced, leading to the death of brain cells. This interruption in blood flow results in brain damage, which can cause physical and cognitive impairments such as paralysis, speech difficulties, memory problems, and sensory disturbances. The severity and location of the stroke determine the extent of the consequences experienced by the individual. Choices A, B, and D are incorrect. Irregular heart rhythm is not a direct consequence of a stroke but may occur as a complication. Rapid weight gain or loss and chronic fatigue with muscle weakness are not typically considered major consequences of a stroke, which primarily affects the brain due to interrupted blood flow.

4. The patella, commonly known as the kneecap, is an example of a:

• A. Sesamoid bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The patella, also known as the kneecap, is an example of a sesamoid bone. Sesamoid bones develop within tendons, such as the patellar tendon in this case. The patella is embedded in the tendon of the quadriceps muscle, enhancing the mechanical advantage of the muscle and protecting the knee joint. Long bones, like the femur, are characterized by their elongated shape with growth plates at the ends. Short bones, such as those in the wrist and ankle, are cube-shaped bones. Irregular bones, like vertebrae, do not fit into the other bone shape categories due to their unique shapes and functions.

5. Which type of waves do not require a medium for propagation?

• A. Transverse waves
• B. Longitudinal waves
• C. Electromagnetic waves
• D. Surface waves

Correct answer: C

Rationale: Electromagnetic waves do not require a medium for propagation as they consist of oscillating electric and magnetic fields that can travel through a vacuum. This property allows electromagnetic waves, such as light, radio waves, and X-rays, to propagate through space. In contrast, transverse and longitudinal waves require a medium (solid, liquid, or gas) for propagation. Transverse waves have vibrations perpendicular to the direction of energy transfer, while longitudinal waves have vibrations parallel to the direction of energy transfer. Surface waves, which are a combination of transverse and longitudinal waves, also need a medium for propagation. Understanding the distinction between these wave types is essential in various fields, including physics and communication technologies.

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