Nursing Elites

1. Which of the following types of muscle tissue is found attached to bones and allows for voluntary movement?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Connective tissue

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is attached to bones and allows for voluntary movement, such as walking, running, and lifting objects. Smooth muscle, found in the walls of internal organs and blood vessels, is responsible for involuntary movements. Cardiac muscle is specific to the heart and controls involuntary contraction. Connective tissue, on the other hand, provides support and connects different structures in the body, but it is not responsible for voluntary movement like skeletal muscle.

2. What does bradycardia refer to in terms of heart rate?

• A. Normal (60-100 bpm)
• B. Slightly elevated (100-120 bpm)
• C. Significantly elevated (>120 bpm)
• D. Abnormally slow (<60 bpm)

Correct answer: D

Rationale: Bradycardia refers to an abnormally slow heart rate, typically defined as less than 60 beats per minute. This condition can result in inadequate blood flow to meet the body's demands. It is crucial to distinguish between bradycardia and tachycardia, which is a fast heart rate, as they require different management strategies. Options A, B, and C are incorrect because they describe normal, slightly elevated, and significantly elevated heart rates, respectively, rather than an abnormally slow heart rate characteristic of bradycardia. Recognizing bradycardia is essential for appropriate evaluation and intervention in clinical settings.

3. Which of the following best defines the anatomical term medial?

• A. Being face down
• B. On the front of the body or limb
• C. Near to the midline of the body
• D. Above or on top of the lungs

Correct answer: C

Rationale: The correct definition of the anatomical term 'medial' is being close or near to the midline of the body. This term describes a position closer to the center or midline of the body, opposite to 'lateral' which refers to a position further away from the midline. Choice A, 'Being face down,' is incorrect as it describes the anatomical term 'prone.' Choice B, 'On the front of the body or limb,' is incorrect as it describes the anatomical term 'anterior.' Choice D, 'Above or on top of the lungs,' is incorrect as it does not relate to the term 'medial.'

4. Which structure in the respiratory system is responsible for gas exchange?

• A. Trachea
• B. Alveoli
• C. Bronchi
• D. Diaphragm

Correct answer: B

Rationale: The alveoli in the lungs are responsible for gas exchange. Alveoli have a rich blood supply and thin walls, enabling the exchange of oxygen and carbon dioxide. Oxygen diffuses into the blood from the alveoli, while carbon dioxide diffuses out. The trachea functions as an air passage, bronchi are the main airways into the lungs, and the diaphragm is the primary muscle involved in breathing by aiding in lung expansion and contraction, but they are not directly responsible for gas exchange like the alveoli.

5. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

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