Nursing Elites

1. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases carbon dioxide-rich air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: A

Rationale: Exhalation (expiration) involves active muscle contraction, specifically the diaphragm and intercostal muscles, to decrease the volume of the thoracic cavity and push air out of the lungs. In contrast, inhalation (inspiration) is a passive process where the diaphragm and external intercostal muscles contract to increase the thoracic cavity volume, allowing air to flow into the lungs. Choice B is incorrect as exhalation removes carbon dioxide-rich air and inhalation brings in oxygen-rich air. Choice C is incorrect because both exhalation and inhalation can occur through the nose or mouth. Choice D is inaccurate as inhalation humidifies and warms the air, while exhalation cools and dries it.

2. What do lacteals absorb in the small intestine?

• A. Carbohydrates
• B. Lipids
• C. Proteins
• D. Nonpolar nutrients

Correct answer: B

Rationale: Lacteals are lymphatic capillaries in the small intestine that specialize in absorbing dietary lipids. These lipids are then transported into the lymphatic system for further processing and distribution throughout the body. Choice A (Carbohydrates) is incorrect because carbohydrates are primarily digested and absorbed in the small intestine by enzymes and transported to the liver. Choice C (Proteins) is incorrect because proteins are broken down into amino acids and absorbed in the small intestine, mainly by the villi. Choice D (Nonpolar nutrients) is incorrect as it is a vague term and not specific to what lacteals absorb, which are primarily lipids.

3. 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.

4. Which type of cartilage allows for smooth movement at joints and absorbs shock?

• A. Hyaline cartilage
• B. Fibrocartilage
• C. Elastic cartilage
• D. None of the above

Correct answer: B

Rationale: Fibrocartilage is the correct answer. It is found in areas requiring both support and resilience, such as the intervertebral discs and knee joints. Fibrocartilage contains collagen fibers for strength and proteoglycans for resilience, making it suitable for functions that involve smooth movement at joints and shock absorption. Hyaline cartilage, while providing structural support, is not primarily responsible for smooth movement and shock absorption. Elastic cartilage is more flexible and is found in locations like the ear and epiglottis, but it is not known for its shock-absorbing properties. Choosing 'None of the above' disregards the correct option of fibrocartilage, which is specifically designed for the functions described in the question.

5. What happens to the density of a substance if its mass increases while its volume remains constant?

• A. Density increases
• B. Density decreases
• C. Density remains constant
• D. Density becomes zero

Correct answer: A

Rationale: When the mass of a substance increases while its volume remains constant, the density, which is calculated by dividing mass by volume, will increase. This is because with a higher mass and the volume staying the same, the ratio of mass to volume (density) will be greater, resulting in an overall increase in density. Choice B, 'Density decreases,' is incorrect because an increase in mass with constant volume leads to a higher density. Choice C, 'Density remains constant,' is incorrect as an increase in mass will cause the density to increase. Choice D, 'Density becomes zero,' is incorrect because even with an increase in mass, as long as volume remains constant, density will not reach zero; it will increase instead.

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