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. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

3. What are the three layers of the heart?

• A. Endocardium, myocardium, epicardium
• B. Pericardium, endocardium, myocardium
• C. Epicardium, myocardium, endocardium
• D. Pericardium, myocardium, endocardium

Correct answer: C

Rationale: The correct answer is C: Epicardium, myocardium, endocardium. The heart wall consists of three layers: the outer layer is the epicardium, the middle muscular layer is the myocardium, and the inner layer is the endocardium. Understanding the layers of the heart is essential for comprehending its structure and function. Choices A, B, and D are incorrect because they do not present the layers of the heart in the correct order. The pericardium is the outermost layer that surrounds the heart, but it is not part of the heart wall itself. Therefore, choices B and D are incorrect. Choice A is incorrect as it presents the layers in the wrong order, starting with the endocardium instead of the epicardium, which is the outermost layer.

4. What are the three main types of RNA?

• A. Messenger RNA (mRNA), ribosomal RNA (rRNA), and transfer RNA (tRNA)
• B. DNA, RNA, and protein
• C. Adenine, guanine, cytosine, and thymine
• D. Deoxyribose, ribose, and phosphate

Correct answer: A

Rationale: - Messenger RNA (mRNA) carries genetic information from the DNA in the nucleus to the ribosomes in the cytoplasm for protein synthesis. - Ribosomal RNA (rRNA) is a structural component of ribosomes, which are the cellular machinery responsible for protein synthesis. - Transfer RNA (tRNA) is responsible for bringing amino acids to the ribosome during protein synthesis. Options B, C, and D are incorrect: - Option B lists DNA, RNA, and protein, which are biomolecules but not the three main types of RNA. - Option C lists nitrogenous bases (adenine, guanine, cytosine, and thymine) found in DNA, not types of RNA. - Option D lists components of nucleotides (deoxyribose, ribose, and phosphate), which are building blocks of nucleic

5. Which structure in the respiratory system is responsible for gas exchange?

• A. Trachea
• B. Alveoli
• C. Bronchi
• D. Diaphragm

Correct answer: B

Rationale: The alveoli in the lungs are responsible for gas exchange. Alveoli have a rich blood supply and thin walls, enabling the exchange of oxygen and carbon dioxide. Oxygen diffuses into the blood from the alveoli, while carbon dioxide diffuses out. The trachea functions as an air passage, bronchi are the main airways into the lungs, and the diaphragm is the primary muscle involved in breathing by aiding in lung expansion and contraction, but they are not directly responsible for gas exchange like the alveoli.

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