Nursing Elites

1. Which of the following functions is not controlled by the autonomic nervous system?

• A. Digestion
• B. Walking
• C. Heartbeat
• D. Temperature regulation

Correct answer: B

Rationale: The correct answer is B: Walking. Walking is not directly controlled by the autonomic nervous system. Walking is a voluntary action governed by the somatic nervous system, which controls voluntary skeletal muscle movement. The autonomic nervous system, on the other hand, regulates functions that are involuntary, such as digestion, heartbeat, and temperature regulation. Choices A, C, and D are all functions controlled by the autonomic nervous system. Digestion involves processes like peristalsis and secretion of digestive enzymes, heartbeat is regulated by the autonomic nervous system to maintain blood pressure and circulation, and temperature regulation includes responses like sweating or shivering to maintain body temperature within a narrow range.

2. A pediatrician notes that an infant's cartilage is disappearing and being replaced by bone. What process has the doctor observed?

• A. Mineralization
• B. Ossification
• C. Osteoporosis
• D. Calcification

Correct answer: B

Rationale: The doctor has observed the process of ossification. Ossification is the natural process where cartilage in the body is replaced by bone. This process takes place during fetal development, growth, and bone fracture healing. Ossification involves the formation of bone tissue by depositing minerals like calcium and phosphorus within the cartilage matrix, leading to the development of a bone structure. Choice A, mineralization, refers to the process of forming mineral deposits in tissues, but it does not involve the replacement of cartilage by bone. Choice C, osteoporosis, is a condition characterized by bone density loss and increased fragility, not the natural process of cartilage replacement by bone. Choice D, calcification, is the process of deposition of calcium salts in various tissues, but it does not specifically involve the replacement of cartilage by bone as in ossification.

3. Which of the following is true regarding adipocytes?

• A. They are involved in the secretion of glucose.
• B. They are responsible for storing the fat found in adipose tissue.
• C. They are critical in the digestive breakdown of fat.
• D. They are the foundational element of muscles.

Correct answer: B

Rationale: The correct answer is B. Adipocytes are responsible for storing the fat found in adipose tissue. These specialized cells store energy in the form of fat and play a key role in energy balance and metabolism. Adipocytes do not secrete glucose; that function is typically attributed to other cells like pancreatic beta cells. Adipocytes are not involved in the digestive breakdown of fat, as this process primarily occurs in the gastrointestinal system with the help of enzymes. Adipocytes are distinct from the foundational elements of muscles, which are primarily made up of muscle fibers and associated connective tissues.

4. Microfilaments and microtubules are both components of the cytoskeleton, but they have different functions. Which of these describes microfilaments?

• A. Provide structural support and shape
• B. Facilitate cell movement and contraction
• C. Form the mitotic spindle during cell division
• D. Transport materials within the cell

Correct answer: A

Rationale: Microfilaments are thin, solid rods made of the protein actin and are primarily responsible for providing structural support to the cell and determining its shape. While they also play a role in cell movement, their main function is related to maintaining the structural integrity of the cell. Choice B, 'Facilitate cell movement and contraction,' describes microtubules, which are responsible for facilitating cell movement, providing structural support, and aiding in cell division. Choice C, 'Form the mitotic spindle during cell division,' specifically refers to the function of microtubules in forming the mitotic spindle. Choice D, 'Transport materials within the cell,' is characteristic of microtubules that are involved in intracellular transport of organelles and materials within the cell.

5. As a nursing student triaging a patient, which of the following is an example of quantitative data you can gather?

• A. The patient says he feels pain.
• B. The patient says he has stabbing pain.
• C. The patient's temperature is 101.7°F.
• D. The patient reports that he had a fever yesterday.

Correct answer: C

Rationale: The corrected choice C, 'The patient's temperature is 101.7°F,' is an example of quantitative data because it provides a specific numerical value that can be measured. Quantitative data involves measurable and numerical information, making it crucial for assessing a patient's condition objectively. Choices A and B are subjective statements based on the patient's perception of pain and its description, which are qualitative data and may vary between individuals. Choice D provides historical information about a fever, which is not a current measurable value and does not constitute quantitative data for immediate assessment.

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