Nursing Elites

1. Which of the following is an example of a flat bone?

• A. Femur
• B. Scapula
• C. Humerus
• D. Tibia

Correct answer: B

Rationale: The correct answer is B, the Scapula. Flat bones, such as the scapula, are thin, flattened bones that provide protection to internal organs and serve as attachment points for muscles. The other choices, femur, humerus, and tibia, are examples of long bones, which are characterized by their elongated structure and are primarily involved in supporting weight and facilitating movement.

2. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. What type of immunity does a vaccine provide? Choose only ONE best answer.

• A. Naturally acquired passive immunity
• B. Artificially acquired passive immunity
• C. Naturally acquired active immunity
• D. Artificially acquired active immunity

Correct answer: D

Rationale: The correct answer is D: Artificially acquired active immunity. Vaccines work by stimulating the immune system to produce an active response, leading to the development of immunity against specific pathogens. Choice A, naturally acquired passive immunity, is incorrect as it refers to the temporary immunity passed from mother to child, not through vaccines. Choice B, artificially acquired passive immunity, is also incorrect because passive immunity involves the transfer of pre-formed antibodies, not the stimulation of the immune system by vaccines. Choice C, naturally acquired active immunity, is incorrect since it is acquired through natural exposure to pathogens, not through vaccines.

4. Which hormone, produced by the adrenal glands, is essential for regulating electrolyte balance, particularly sodium and potassium, in the body?

• A. Aldosterone
• B. Epinephrine
• C. Cortisol
• D. Insulin

Correct answer: A

Rationale: Aldosterone is a hormone produced by the adrenal glands that plays a crucial role in maintaining electrolyte balance, specifically by regulating sodium and potassium levels in the body. Its primary function involves acting on the kidneys to increase the reabsorption of sodium and water while promoting the excretion of potassium. This process is essential for regulating blood pressure, fluid balance, and electrolyte concentrations in the body. Epinephrine is associated with the fight or flight response, cortisol is a stress hormone, and insulin is responsible for regulating blood sugar levels as produced by the pancreas. Therefore, the correct answer is Aldosterone as it directly targets electrolyte balance, particularly sodium and potassium, in the body.

5. The patella, commonly known as the kneecap, is an example of a:

• A. Sesamoid bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The patella, also known as the kneecap, is an example of a sesamoid bone. Sesamoid bones develop within tendons, such as the patellar tendon in this case. The patella is embedded in the tendon of the quadriceps muscle, enhancing the mechanical advantage of the muscle and protecting the knee joint. Long bones, like the femur, are characterized by their elongated shape with growth plates at the ends. Short bones, such as those in the wrist and ankle, are cube-shaped bones. Irregular bones, like vertebrae, do not fit into the other bone shape categories due to their unique shapes and functions.

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