Nursing Elites

1. Which part of the nephron is closest to the collecting duct?

• A. Distal convoluted tubule (DCT)
• B. Bowman's Capsule
• C. Afferent Arteriole
• D. Proximal Convoluted Tubule (PCT)

Correct answer: A

Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.

2. Magnetic resonance imaging might be used to

• A. distinguish between normal and abnormal tissue.
• B. examine an injured knee.
• C. provide detailed images of the brain.
• D. do both A and B.

Correct answer: B

Rationale: Magnetic resonance imaging, commonly known as MRI, is a non-invasive imaging technique used to visualize internal structures of the body. While it can be used to distinguish between normal and abnormal tissue, one of its common applications is to examine musculoskeletal injuries, such as an injured knee. Choice A has been corrected to mention 'normal and abnormal tissue' instead of 'normal and cancerous tissue' as MRI is not solely used for cancer detection. Choice C is incorrect as MRI can provide detailed images of various body parts, not just limited to the brain. Therefore, the correct answer is to examine an injured knee.

3. Blood cells are produced in the organs of the _______ system.

• A. endocrine
• B. skeletal
• C. superior to
• D. inferior to

Correct answer: C

Rationale: Blood cells are produced in the organs of the hematopoietic system. The correct answer is 'superior to' as this refers to the location of the organs responsible for blood cell production, typically bone marrow found in bones such as the vertebrae, ribs, and skull. 'Endocrine' (Choice A) refers to a different system responsible for hormone production. 'Skeletal' (Choice B) relates to bones but not specifically to the production of blood cells. Choices C and D, 'superior to' and 'inferior to,' do not make sense in the context of blood cell production and are incorrect.

4. Lowering the hand by straightening the elbow affects which of the following muscles?

• A. biceps brachii
• B. triceps brachii
• C. brachialis
• D. brachioradialis

Correct answer: B

Rationale: Lowering the hand by straightening the elbow is the action of extending the forearm, which is primarily done by the triceps brachii muscle. The triceps brachii is the main extensor muscle of the elbow joint. The biceps brachii is responsible for flexing the elbow, not extending it, making it an incorrect choice. Brachialis is a strong elbow flexor, and brachioradialis helps in flexing the elbow and pronating the forearm, so they are not the primary muscles involved in straightening the elbow.

5. In a normally functioning cardiovascular system, where does the heartbeat originate?

• A. Atrioventricular nodes
• B. Bundle of His
• C. Purkinje fibers
• D. Sinoatrial node

Correct answer: D

Rationale: The correct answer is the Sinoatrial (SA) node. The SA node is known as the natural pacemaker of the heart as it initiates the electrical impulses responsible for the heartbeat. The other choices, such as the Atrioventricular (AV) nodes, Bundle of His, and Purkinje fibers, are involved in conducting the electrical signals generated by the SA node to coordinate the heart's contractions. Therefore, they do not serve as the primary origin of the heartbeat.

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