Nursing Elites

1. What is the first step in pulmonary circulation?

• A. Blood moves toward the heart through the pulmonary veins.
• B. The pulmonary artery carries blood from the heart to the lungs.
• C. Carbon dioxide is exchanged for oxygen.
• D. Oxygenated blood moves through the aorta.

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

2. Which type of muscle tissue is under voluntary control?

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

Correct answer: C

Rationale: Skeletal muscle is under voluntary control, allowing conscious regulation for activities like walking and lifting. This type of muscle is attached to bones and is responsible for movement in the body. Smooth muscle (Choice A) is involuntary and found in organs like the stomach and intestines. Cardiac muscle (Choice B and D) is also involuntary and specific to the heart, contracting rhythmically to pump blood, but it is not under conscious control.

3. How many bones are in the human foot?

• A. 6
• B. 16
• C. 26
• D. 36

Correct answer: C

Rationale: The correct answer is C: 26. The human foot consists of 26 bones, including tarsal bones, metatarsal bones, and phalanges. These bones collaborate to offer support, flexibility, and stability for various activities like standing, walking, and running. Choice A (6) is incorrect as it is too low for the number of bones in the human foot. Choice B (16) is incorrect as it underestimates the actual number of bones in the foot. Choice D (36) is incorrect as it overestimates the number of bones in the human foot.

4. Which is a secondary defense for the body against pathogens?

• A. Tears
• B. Urine
• C. Inflammation
• D. Mucus

Correct answer: C

Rationale: Inflammation is a secondary defense mechanism for the body against pathogens. When tissues are injured or infected, inflammation occurs as a protective response involving increased blood flow, white blood cell migration, and tissue repair. This process helps contain and eliminate pathogens, preventing them from spreading further in the body. Tears (Choice A) are a primary defense containing lysozyme and other antimicrobial agents. Urine (Choice B) is typically considered a non-specific defense mechanism due to its flushing action in the urinary tract. Mucus (Choice D) acts as a physical barrier and traps pathogens, also considered a primary defense mechanism.

5. Which of the following is true about skeletal muscle?

• A. Skeletal muscle makes up 40% of the body's weight.
• B. Skeletal muscle attaches to bones by tendons.
• C. Muscle contraction is not involved in temperature regulation.
• D. Skeletal muscles contract only when in use.

Correct answer: B

Rationale: The correct statement is that skeletal muscle attaches to bones through tendons, enabling movement. Tendons connect muscles to bones and allow the force generated by muscle contraction to be transmitted to the bones, facilitating voluntary movements. Choice A is incorrect because skeletal muscle typically makes up around 40-50% of an individual's body weight, not a fixed 40%. Choice C is incorrect as muscle contraction plays a vital role in temperature regulation by generating heat. Choice D is incorrect as skeletal muscles may have constant low-level contractions even at rest, known as muscle tone.

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