Nursing Elites

1. Which neuromuscular system controls voluntary movement?

• A. Autonomic
• B. Somatic
• C. Sympathetic
• D. Parasympathetic

Correct answer: B

Rationale: The correct answer is B, Somatic. The somatic nervous system controls voluntary movements of skeletal muscles. It is responsible for carrying sensory and motor information to and from the central nervous system. Choices A, C, and D are incorrect. The autonomic nervous system (choice A) controls involuntary functions such as heart rate and digestion. The sympathetic (choice C) and parasympathetic (choice D) nervous systems are subdivisions of the autonomic nervous system and are responsible for the body's fight-or-flight response and rest-and-digest functions, respectively.

2. Which type of muscle is characterized by involuntary contractions, is striated, and is primarily found in the heart?

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

Correct answer: C

Rationale: The correct answer is C, Cardiac muscle. Cardiac muscle fits the description provided in the question as it exhibits involuntary contractions, striations, and is predominantly located in the heart. Skeletal muscle, while also striated, is voluntary and not involuntary like cardiac muscle. Smooth muscle lacks striations and is typically found in the walls of internal organs. Elastic muscle is not a recognized type of muscle tissue in human anatomy, making it an incorrect choice.

3. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

4. Which of the following structures acts like a funnel by delivering urine from the millions of collecting tubules to the ureters?

• A. The renal pelvis
• B. The renal cortex
• C. The renal medulla
• D. Bowman's capsule

Correct answer: A

Rationale: The correct answer is A: The renal pelvis. The renal pelvis serves as a reservoir for urine collected from the kidney's numerous collecting tubules, funneling it into the ureters for transport to the bladder. The renal cortex is the outer region of the kidney involved in filtration, while the renal medulla is the inner region responsible for concentrating urine. Bowman's capsule is part of the nephron and is involved in the initial filtration of blood in the kidney, not in funneling urine to the ureters.

5. Which type of muscle is responsible for moving the skeleton?

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

Correct answer: B

Rationale: Skeletal muscle is the correct answer as it is responsible for moving the skeleton. Skeletal muscles are under voluntary control, meaning they can be consciously controlled by the individual. Cardiac muscle (Choice A) is found in the heart and is responsible for pumping blood, not moving the skeleton. Smooth muscle (Choice C) is found in internal organs and is responsible for involuntary movements like digestion. Voluntary muscle (Choice D) is not a specific type of muscle; it refers to muscles that can be consciously controlled, which includes skeletal muscles.

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