Nursing Elites

1. What type of joint is found at the elbow?

• A. Ball and socket
• B. Hinge
• C. Pivot
• D. Saddle

Correct answer: B

Rationale: The correct answer is B: Hinge. A hinge joint, such as the one found at the elbow, allows for movement primarily in one plane, enabling flexion and extension similar to the movement of a door hinge. This joint structure permits bending and straightening of the arm, controlling the range of motion in a specific direction. Choices A, C, and D are incorrect. A ball and socket joint allows for multi-axial movement like the hip joint, a pivot joint allows for rotation around an axis like the joint between the first and second cervical vertebrae, and a saddle joint allows for movement in two planes at right angles to each other like the joint at the base of the thumb.

2. Which structure in the ear is responsible for balance?

• A. Cochlea
• B. Semicircular canals
• C. Ossicles
• D. Eustachian tube

Correct answer: B

Rationale: The semicircular canals in the inner ear are responsible for maintaining balance by detecting changes in head position and movement. These structures contain fluid and hair cells that send signals to the brain regarding the body's orientation in space, helping us stay balanced and navigate our surroundings. The cochlea is responsible for hearing, the ossicles are involved in sound transmission, and the Eustachian tube helps equalize pressure in the middle ear, but they are not directly related to balance.

3. Where would you be likely to find a Schwann cell?

• A. In the digestive system
• B. In the nervous system
• C. In the skeletal system
• D. In the muscular system

Correct answer: B

Rationale: Schwann cells are a type of neuroglia found in the peripheral nervous system. They are responsible for producing the myelin sheath around axons of neurons, which helps with the conduction of nerve impulses. Therefore, Schwann cells are typically found in the nervous system. Choices A, C, and D are incorrect because Schwann cells are specifically associated with the nervous system and are not found in the digestive, skeletal, or muscular systems.

4. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

5. Which of the following is not an example of a nonspecific immune response?

• A. Inflammation
• B. Vasodilation
• C. Release of histamine
• D. Production of antibodies

Correct answer: D

Rationale: The correct answer is D, 'Production of antibodies.' Antibodies are generated as part of the specific immune response, which targets specific antigens. Nonspecific immune responses, such as inflammation, vasodilation, and histamine release, are general defense mechanisms aimed at combating various pathogens. Inflammation is a localized response to infection or injury, vasodilation increases blood flow to the affected area, and histamine release triggers inflammatory responses. It's vital to differentiate between nonspecific responses that provide immediate, general protection and specific responses designed to tackle particular threats.

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