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. What is a primary function of the skeletal system?

• A. Production of red blood cells
• B. Support and protection
• C. Secretion of hormones
• D. Regulation of body temperature

Correct answer: B

Rationale: The correct answer is B: Support and protection. The primary functions of the skeletal system include providing structural support to the body and protecting internal organs. While the skeletal system also plays a role in hematopoiesis (production of blood cells) and stores minerals, its main function is to support the body's framework and protect vital organs. Choices A, C, and D are incorrect as they do not directly relate to the primary functions of the skeletal system.

3. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

4. Which type of muscle is found in the heart?

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

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

5. Which structure in the eye is responsible for focusing light on the retina?

• A. Cornea
• B. Lens
• C. Retina
• D. Pupil

Correct answer: B

Rationale: The lens of the eye is responsible for focusing light onto the retina. It plays a crucial role in bending light rays to ensure that they converge on the retina, enabling clear vision. The cornea helps in focusing light, but the final adjustment and fine-tuning occur through the lens. The retina receives the focused light and converts it into neural signals for the brain to interpret. The pupil, on the other hand, controls the amount of light entering the eye by dilating or constricting.

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