Nursing Elites

1. 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.

2. Which organ is responsible for filtering and cleaning the blood?

• A. Lungs
• B. Heart
• C. Kidneys
• D. Liver

Correct answer: C

Rationale: The correct answer is C: Kidneys. The kidneys are the organs responsible for filtering and cleaning the blood. They remove waste products, regulate electrolyte levels, and help maintain fluid balance in the body through the production of urine. The other choices are incorrect because: A) Lungs are primarily responsible for gas exchange, not blood filtration. B) The heart is responsible for pumping blood, not filtering it. D) The liver plays a role in detoxification and metabolism, but it is not primarily responsible for filtering and cleaning the blood.

3. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

4. When an individual is under stress, hormones are released. Which of the following is not one of the locations in which hormones are released when under stress?

• A. Posterior pituitary
• B. Hypothalamus
• C. Adrenal cortex
• D. Parathyroid

Correct answer: D

Rationale: During stress, hormones are released from the adrenal cortex, posterior pituitary, and hypothalamus to help the body respond. The parathyroid gland, however, is not typically involved in the stress response by releasing hormones. The posterior pituitary releases hormones like oxytocin and vasopressin, the hypothalamus secretes corticotropin-releasing hormone (CRH) and vasopressin, while the adrenal cortex releases cortisol and aldosterone in response to stress. Therefore, the correct answer is 'Parathyroid.'

5. Which type of blood vessel carries blood back to the heart?

• A. Arteries
• B. Capillaries
• C. Veins
• D. Lymphatic vessels

Correct answer: C

Rationale: Veins are the blood vessels that carry deoxygenated blood back to the heart, except for the pulmonary veins which carry oxygenated blood from the lungs. Arteries carry oxygenated blood away from the heart. Capillaries facilitate the exchange of nutrients and gases between the blood and tissues but do not specifically carry blood back to the heart. Lymphatic vessels are part of the lymphatic system responsible for immune function and do not directly carry blood back to the heart. Therefore, the correct answer is veins.

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