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. Which of the following units is used to express concentration as a mass of solute per unit volume of solution?

• A. Molality (m)
• B. Molarity (M)
• C. Weight percent (%)
• D. Parts per million (ppm)

Correct answer: A

Rationale: Molality (m) is the unit used to express concentration as a mass of solute per unit volume of solution. It is calculated by dividing the mass of solute in grams by the mass of the solvent in kilograms. Molality is preferred over molarity when there are large temperature variations as it is temperature-independent, making it a more accurate measure of concentration. Molarity (B) is the unit used to express concentration as moles of solute per liter of solution, weight percent (C) is the mass of solute per 100 parts of the total mass of the solution, and parts per million (D) is used to express very small concentrations where 1 ppm is equivalent to 1 mg of solute per liter of solution.

3. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

4. Differentiate between the digestive and respiratory systems.

• A. Mouth
• B. Stomach
• C. Small intestine
• D. Lungs

Correct answer: D

Rationale: The correct answer is D - Lungs. The mouth, stomach, and small intestine are all components of the digestive system, which is responsible for breaking down food into nutrients that the body can absorb. On the other hand, the lungs are part of the respiratory system, which facilitates the exchange of oxygen and carbon dioxide between the body and the environment through breathing. While the digestive system processes food for energy and nutrients, the respiratory system is primarily focused on the exchange of gases necessary for cellular respiration. Choices A, B, and C are incorrect as they are all organs associated with the digestive system and do not pertain to the respiratory system.

5. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

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