Nursing Elites

1. Which part of the brain controls balance and coordination?

• A. Cerebrum
• B. Cerebellum
• C. Medulla
• D. Thalamus

Correct answer: B

Rationale: The cerebellum is the correct answer as it is the part of the brain responsible for controlling balance and coordination in the body. It receives input from various parts of the brain, spinal cord, and sensory systems to help coordinate voluntary movements. The cerebrum (choice A) is mainly involved in higher brain functions such as thinking, decision-making, and voluntary movements but not specifically balance and coordination. The medulla (choice C) is essential for functions like breathing, heart rate, and blood pressure regulation but not primarily for balance and coordination. The thalamus (choice D) acts as a relay station for sensory information but is not primarily responsible for balance and coordination.

2. Which neuromuscular system controls voluntary movement?

• A. Autonomic
• B. Somatic
• C. Sympathetic
• D. Parasympathetic

Correct answer: B

Rationale: The correct answer is B, Somatic. The somatic nervous system controls voluntary movements of skeletal muscles. It is responsible for carrying sensory and motor information to and from the central nervous system. Choices A, C, and D are incorrect. The autonomic nervous system (choice A) controls involuntary functions such as heart rate and digestion. The sympathetic (choice C) and parasympathetic (choice D) nervous systems are subdivisions of the autonomic nervous system and are responsible for the body's fight-or-flight response and rest-and-digest functions, respectively.

3. Which structure allows for the selective passage of materials into and out of the cell?

• A. DNA
• B. Protein
• C. Carbohydrate
• D. Phospholipid bilayer

Correct answer: D

Rationale: The phospholipid bilayer is a crucial component of the cell membrane, surrounding the cell and regulating the passage of materials into and out of the cell. Its structure enables it to be selectively permeable, controlling which substances can pass through. DNA, proteins, and carbohydrates are essential molecules in the cell but do not directly govern the passage of materials like the phospholipid bilayer does. Therefore, the correct answer is the phospholipid bilayer.

4. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

5. Which of the following systems does not include a transportation network throughout the body?

• A. Cardiovascular system
• B. Endocrine system
• C. Immune system
• D. Nervous system

Correct answer: B

Rationale: The endocrine system does not include a transportation network throughout the body. While the cardiovascular system transports blood, oxygen, and nutrients, the immune system has lymphatic vessels for immune cell transportation, and the nervous system transmits signals via neurons. In contrast, the endocrine system coordinates bodily functions by releasing hormones directly into the bloodstream, which then act on target organs or tissues. This delivery mechanism is different from the continuous transportation networks found in the other systems listed, making the endocrine system the correct choice for this question.

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