Nursing Elites

1. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

2. Which of the following types of muscles is found in the walls of hollow organs?

• A. Cardiac
• B. Smooth
• C. Skeletal
• D. Voluntary

Correct answer: B

Rationale: Smooth muscles are the correct answer as they are found in the walls of hollow organs such as the intestines and blood vessels. Cardiac muscles are specifically found in the heart and are responsible for its contractions. Skeletal muscles are attached to bones and control voluntary movements. Voluntary muscles are under conscious control, but this term is not a specific type of muscle like smooth, cardiac, or skeletal muscles.

3. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

4. Where does fertilization typically occur in the female reproductive system?

• A. uterus
• B. fallopian tube
• C. endometrium
• D. ovary

Correct answer: B

Rationale: Fertilization typically occurs in the fallopian tube, specifically in the ampulla, which is the widest part of the tube. After ovulation, the released egg travels through the fallopian tube where it may encounter sperm for fertilization to take place. The fallopian tube provides the ideal environment for fertilization due to the presence of cilia that help move the egg and sperm towards each other. The uterus is where the fertilized egg will implant and develop into a fetus, not where fertilization occurs. The endometrium is the lining of the uterus that thickens to support a potential pregnancy but is not the site of fertilization. The ovary releases the egg during ovulation but is not where fertilization occurs.

5. Which neuromuscular system controls voluntary movement?

• A. Autonomic
• B. Somatic
• C. Sympathetic
• D. Parasympathetic

Correct answer: B

Rationale: The correct answer is B, Somatic. The somatic nervous system controls voluntary movements of skeletal muscles. It is responsible for carrying sensory and motor information to and from the central nervous system. Choices A, C, and D are incorrect. The autonomic nervous system (choice A) controls involuntary functions such as heart rate and digestion. The sympathetic (choice C) and parasympathetic (choice D) nervous systems are subdivisions of the autonomic nervous system and are responsible for the body's fight-or-flight response and rest-and-digest functions, respectively.

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