Nursing Elites

1. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

2. Which hormone deficiency can lead to stunted growth and developmental delays in children?

• A. Estrogen
• B. Testosterone
• C. Growth hormone
• D. Insulin

Correct answer: C

Rationale: The correct answer is C, Growth hormone. Growth hormone plays a crucial role in stimulating growth, cell reproduction, and regeneration in children. A deficiency in growth hormone can lead to stunted growth and developmental delays. Estrogen and testosterone are sex hormones that do not directly influence growth in the same way as growth hormone. Insulin primarily regulates blood sugar levels and is not the primary hormone responsible for growth and development in children.

3. A physician prescribes a drug to help control a person's anxiety attacks. This drug most likely targets the

• A. Amygdala.
• B. Parietal lobe.
• C. Hypothalamus.
• D. Sensory neuron.

Correct answer: A

Rationale: The correct answer is A: Amygdala. The amygdala is a key brain structure involved in the processing of emotions, including anxiety. Medications for anxiety disorders often target the amygdala to help regulate emotional responses and control anxiety attacks. The amygdala plays a crucial role in the brain's fear circuit and is essential for the appropriate response to stress and threat perception. Choices B, C, and D are incorrect because the parietal lobe is primarily involved in sensory processing and spatial reasoning, the hypothalamus regulates basic functions like hunger, thirst, and body temperature, and sensory neurons transmit signals from sensory receptors to the central nervous system, none of which are directly related to the regulation of anxiety attacks.

4. 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.

5. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

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