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 is the fatty sheath that insulates some nerve fibers and speeds up signal transmission called?

• A. Myelin sheath
• B. Dura mater
• C. Pia mater
• D. Arachnoid mater

Correct answer: A

Rationale: The correct answer is A: Myelin sheath. The myelin sheath is a fatty layer that surrounds and insulates some nerve fibers, facilitating the rapid transmission of signals along the nerve fibers. Choices B, C, and D (Dura mater, Pia mater, and Arachnoid mater) are layers of the meninges, protective membranes that surround the brain and spinal cord. The primary function of the meninges is to protect and support the central nervous system, not to insulate nerve fibers for signal transmission.

3. Which term describes the ability of a muscle to return to its original length and shape after being stretched or contracted?

• A. Contractility
• B. Elasticity
• C. Extensibility
• D. Excitability

Correct answer: B

Rationale: Elasticity is the correct term that describes the ability of a muscle to return to its original length and shape after being stretched or contracted. Contractility refers to the ability of a muscle to contract or shorten. Extensibility is the ability of a muscle to be stretched. Excitability is the ability of a muscle to receive and respond to stimuli. Therefore, the correct answer is 'Elasticity' as it specifically relates to the muscle's ability to regain its original form.

4. Which organ is responsible for filtering blood and removing waste products?

• A. Liver
• B. Kidneys
• C. Spleen
• D. Pancreas

Correct answer: B

Rationale: The correct answer is the kidneys. The kidneys filter blood and remove waste products through the formation of urine. The liver primarily functions in detoxification and metabolism. The spleen is involved in blood filtering and immune function. The pancreas produces digestive enzymes and insulin, not involved in filtering blood.

5. During REM sleep, which type of brain wave activity is often seen and associated with dreaming?

• A. Delta waves
• B. Alpha waves
• C. Beta waves
• D. Theta waves

Correct answer: D

Rationale: Theta waves are the correct answer as they are often seen during REM (rapid eye movement) sleep, the stage of sleep closely related to dreaming. Theta waves have a frequency of 4-7 Hz and are typically present during deep relaxation, meditation, and light sleep stages. Delta waves (choice A) are associated with deep sleep stages, not REM sleep. Alpha waves (choice B) are present during wakefulness and relaxation but not predominantly during REM sleep. Beta waves (choice C) are associated with alertness, problem-solving, and active thinking, not specifically with REM sleep or dreaming.

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