Nursing Elites

1. Which of the following is true about skeletal muscle?

• A. Skeletal muscle makes up 40% of the body's weight.
• B. Skeletal muscle attaches to bones by tendons.
• C. Muscle contraction is not involved in temperature regulation.
• D. Skeletal muscles contract only when in use.

Correct answer: B

Rationale: The correct statement is that skeletal muscle attaches to bones through tendons, enabling movement. Tendons connect muscles to bones and allow the force generated by muscle contraction to be transmitted to the bones, facilitating voluntary movements. Choice A is incorrect because skeletal muscle typically makes up around 40-50% of an individual's body weight, not a fixed 40%. Choice C is incorrect as muscle contraction plays a vital role in temperature regulation by generating heat. Choice D is incorrect as skeletal muscles may have constant low-level contractions even at rest, known as muscle tone.

2. Where does digestion begin in the digestive system?

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

Correct answer: B

Rationale: Digestion begins in the mouth. Mechanical digestion through chewing and chemical digestion through saliva initiate the breakdown of food. Enzymes in saliva start breaking down carbohydrates, marking the beginning of the digestive process. The stomach primarily functions in further breaking down food and mixing it with gastric juices. The small intestine is where most of the digestion and absorption of nutrients occur. The esophagus is a muscular tube that helps move food from the mouth to the stomach, but digestion does not begin there.

3. What is the function of parathyroid hormone?

• A. Increasing energy levels
• B. Stimulating cell reproduction
• C. Speeding up metabolism
• D. Activating vitamin D

Correct answer: D

Rationale: The correct answer is D. Parathyroid hormone plays a crucial role in activating vitamin D. This activation occurs in the kidneys, where parathyroid hormone stimulates the conversion of inactive vitamin D to its active form. Active vitamin D is essential for maintaining proper levels of calcium and phosphorus in the body, which are important for bone health and other physiological functions. Choices A, B, and C are incorrect because parathyroid hormone is not involved in increasing energy levels, stimulating cell reproduction, or speeding up metabolism. Its primary function is related to calcium and phosphorus homeostasis through the activation of vitamin D.

4. Which of the following statements is anatomically correct?

• A. The knee is distal to the ankle.
• B. The heart is inferior to the diaphragm.
• C. The hip is proximal to the knee.
• D. The wrist is proximal to the elbow.

Correct answer: C

Rationale: The term 'proximal' refers to a body part being closer to the center of the body or a point of reference. In this case, the hip is closer to the center of the body compared to the knee, which makes the statement anatomically correct. Choice A is incorrect as the knee is proximal to the ankle. Choice B is incorrect as the heart is superior to the diaphragm. Choice D is incorrect as the elbow is proximal to the wrist.

5. What is the primary function of the kidneys in the urinary system?

• A. Regulating blood pressure
• B. Filtering blood to remove waste
• C. Producing red blood cells
• D. Regulating electrolyte balance

Correct answer: B

Rationale: The primary function of the kidneys in the urinary system is to filter blood to remove waste products and excess fluids, which are then excreted as urine. Kidneys act as a filtration system, removing waste like urea, excess salts, and toxins. While the kidneys do play a role in regulating blood pressure by secreting renin and maintaining electrolyte balance by adjusting the levels of sodium, potassium, and other ions in the blood, their main and essential function is filtration and waste removal, making choice B the correct answer.

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