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. Where will a person who has damage to their ulnar nerve experience decreased sensation?

• A. Leg
• B. Arm
• C. Face
• D. Abdomen

Correct answer: B

Rationale: The ulnar nerve innervates the forearm and hand, specifically providing sensation to the ring and little fingers. Damage to this nerve can lead to decreased sensation in these areas, making the arm the correct answer. Choices A, C, and D are incorrect because the ulnar nerve does not supply sensation to the leg, face, or abdomen.

3. Which organelle is responsible for energy production in the cell?

• A. Nucleus
• B. Mitochondria
• C. Ribosomes
• D. Endoplasmic reticulum

Correct answer: B

Rationale: Mitochondria are the organelles responsible for energy production in the cell. They generate energy through cellular respiration, producing ATP, which is the primary energy currency of the cell. Known as the powerhouse of the cell, mitochondria play a vital role in meeting the energy demands of various cellular processes. The nucleus is responsible for storing genetic material, not energy production. Ribosomes are involved in protein synthesis, not energy production. The endoplasmic reticulum is involved in protein and lipid synthesis, as well as detoxification, but it is not primarily responsible for energy production.

4. Which bone does not articulate with any other bone?

• A. Femur
• B. Hyoid
• C. Radius
• D. Scapula

Correct answer: B

Rationale: The hyoid bone is the correct answer as it is the only bone in the human body that does not articulate with any other bone. Instead, it is suspended in the neck by ligaments and muscles, providing support for the tongue and serving as an attachment point for various throat and tongue muscles. The femur (Choice A), radius (Choice C), and scapula (Choice D) all articulate with other bones in the body at various joints, making them incorrect answers for this question.

5. Which gland is responsible for regulating metabolism and calcium levels?

• A. Pituitary gland
• B. Adrenal gland
• C. Thyroid gland
• D. Pineal gland

Correct answer: C

Rationale: The correct answer is the thyroid gland (Choice C). The thyroid gland plays a crucial role in regulating metabolism by producing hormones like thyroxine, which control the body's metabolic rate. It also helps in controlling calcium levels in the blood through the release of calcitonin. The pituitary gland (Choice A) is known as the 'master gland' as it controls other glands but is not primarily responsible for regulating metabolism and calcium levels. The adrenal gland (Choice B) produces hormones like cortisol and adrenaline, which are involved in the stress response and metabolism, but they do not specifically regulate calcium levels. The pineal gland (Choice D) mainly produces melatonin, a hormone that helps in regulating sleep-wake cycles and has no direct role in metabolism or calcium level regulation.

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