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. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

3. Which gland is responsible for producing adrenaline?

• A. Thyroid gland
• B. Adrenal gland
• C. Pituitary gland
• D. Pineal gland

Correct answer: B

Rationale: The correct answer is the Adrenal gland. The Adrenal glands, situated on top of the kidneys, are responsible for producing adrenaline. Adrenaline is a hormone that prepares the body for the fight-or-flight response during stress. Choice A, the Thyroid gland, is responsible for producing hormones that regulate metabolism, not adrenaline. Choice C, the Pituitary gland, regulates many of the body's functions by producing various hormones but is not responsible for adrenaline production. Choice D, the Pineal gland, produces melatonin, a hormone that regulates sleep-wake cycles, and is not responsible for adrenaline production.

4. Which of the following is not part of the axial skeletal system?

• A. the skull
• B. the ribs
• C. the breastbone
• D. the radius

Correct answer: D

Rationale: The correct answer is D, the radius. The axial skeleton comprises bones located along the central axis of the body. It includes the skull, ribs, breastbone (sternum), vertebrae, and sacrum. The radius, on the other hand, is a bone of the forearm, part of the appendicular skeleton. The appendicular skeleton consists of the bones of the limbs and their girdles, not the central axial bones.

5. Which hormone is responsible for regulating the sleep-wake cycle?

• A. Melatonin
• B. Thyroxine
• C. Insulin
• D. Cortisol

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, regulates the sleep-wake cycle by responding to light and darkness in the environment. It plays a crucial role in signaling the body when it's time to sleep and wake up, helping to establish and maintain a healthy circadian rhythm. Thyroxine, Insulin, and Cortisol do not directly regulate the sleep-wake cycle, making them incorrect choices for this question.

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