Nursing Elites

1. Which of the following is not part of the body’s secondary defense system?

• A. Macrophages
• B. Leukocytes
• C. T cells
• D. Cilia

Correct answer: D

Rationale: Cilia are not part of the body's secondary defense system. They are hair-like structures primarily involved in movement and transporting substances across cell surfaces, such as in the respiratory tract for debris and pathogen removal. However, cilia do not play a direct role in the immune response mechanisms characteristic of the body's secondary defense system. Macrophages, leukocytes, and T cells are immune cells that actively participate in the secondary defense system by targeting and eliminating pathogens.

2. If an impulse is traveling from a sense receptor toward the spinal cord, it is traveling along what type of neuron?

• A. Motor neuron
• B. Sensory neuron
• C. Interneuron
• D. Bipolar neuron

Correct answer: B

Rationale: The correct answer is B: Sensory neuron. A sensory neuron is responsible for carrying impulses from sensory receptors to the spinal cord. These neurons transmit information about external stimuli from the periphery to the central nervous system for processing and response. Choice A, Motor neuron, is incorrect as motor neurons carry signals from the central nervous system to muscles and glands, enabling movement and secretion. Choice C, Interneuron, is incorrect as interneurons act as connectors between sensory and motor neurons, primarily facilitating communication between the two. Choice D, Bipolar neuron, is incorrect as bipolar neurons are specialized sensory neurons found in some sensory organs like the retina of the eye and the olfactory epithelium.

3. Which hormone regulates the sleep-wake cycle?

• A. Melatonin
• B. Insulin
• C. Cortisol
• D. Thyroxine

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, is the hormone that regulates the sleep-wake cycle. Its secretion is influenced by light exposure, with levels typically rising in the evening to promote sleep and falling in the morning to encourage wakefulness. Insulin is involved in regulating blood sugar levels, not the sleep-wake cycle. Cortisol plays a role in the body's stress response and circadian rhythm but is not the primary hormone regulating sleep-wake cycles. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism, not the sleep-wake cycle.

4. Which type of muscle tissue is voluntary?

• A. Cardiac muscle
• B. Skeletal muscle
• C. Smooth muscle
• D. Striated muscle

Correct answer: B

Rationale: The correct answer is B, Skeletal muscle. Skeletal muscle is a type of voluntary muscle tissue, allowing conscious control over its movement. Unlike smooth and cardiac muscle, which are involuntary, skeletal muscle is under direct voluntary control. Cardiac muscle (choice A) is involuntary and found in the heart. Smooth muscle (choice C) is also involuntary and found in the walls of internal organs. While skeletal muscle is striated (contains stripes), choice D is not the best answer as it does not specifically address the voluntary nature of skeletal muscle.

5. Which part of the brain controls balance and coordination?

• A. Cerebellum
• B. Cerebrum
• C. Medulla oblongata
• D. Brainstem

Correct answer: A

Rationale: The correct answer is the cerebellum. Located at the back of the brain, the cerebellum plays a crucial role in controlling balance, coordination, and fine motor movements. It receives information from the sensory systems, the spinal cord, and other parts of the brain to coordinate voluntary movements and maintain posture. Damage to the cerebellum can result in issues with balance, coordination, and muscle tone. The cerebrum is responsible for higher brain functions like thinking and problem-solving, the medulla oblongata controls vital autonomic functions like breathing and heartbeat, and the brainstem serves as a pathway for neural fibers traveling to and from the brain.

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