where might a herniated lumbar disc be most likely to create pain
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Nursing Elites

HESI A2

Anatomy HESI A2

1. Where is a herniated lumbar disc most likely to cause pain?

Correct answer: C

Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.

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

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.

3. Which organ is involved in the immune system?

Correct answer: C

Rationale: The correct answer is the Appendix. The appendix is now known to play a role in the immune system by housing beneficial bacteria that aid in maintaining gut health and supporting immune responses. This organ contributes to overall immune function. Choices A, B, and D are incorrect as the heart, bronchi, and esophagus are not primarily associated with the immune system.

4. What is the primary role of the large intestine?

Correct answer: B

Rationale: The correct answer is B: To absorb water. The primary role of the large intestine is to absorb water from indigestible food matter. This absorption process helps in forming solid waste for excretion. Nutrient absorption primarily occurs in the small intestine, not the large intestine. Breaking down food and secreting digestive enzymes are functions primarily associated with the stomach and small intestine.

5. Which part of the nervous system includes the femoral, radial, and ulnar nerves?

Correct answer: A

Rationale: The correct answer is A: Somatic. The femoral, radial, and ulnar nerves are all part of the somatic nervous system, responsible for controlling voluntary movements and sensory input. These nerves innervate muscles and skin throughout the body, allowing conscious control of movements and sensations. The somatic nervous system is distinct from the autonomic nervous system, which regulates involuntary bodily functions. Choices B, C, and D are incorrect because the autonomic nervous system (B) is responsible for involuntary functions, while the sympathetic (C) and parasympathetic (D) divisions are subdivisions of the autonomic nervous system, not the somatic nervous system.

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