Nursing Elites

1. Which structure serves as the electrical stimulator of the cardiac muscle?

• A. The sinoatrial node
• B. The left ventricle
• C. The aorta
• D. The tricuspid valve

Correct answer: A

Rationale: The correct answer is the sinoatrial node. This node, also referred to as the pacemaker of the heart, is responsible for initiating the electrical impulses that stimulate cardiac muscle contractions. It plays a crucial role in setting the pace and rhythm of the heart's contractions. Choices B, C, and D (the left ventricle, the aorta, and the tricuspid valve, respectively) do not serve as the primary electrical stimulator of the cardiac muscle. While the left ventricle is a chamber of the heart that pumps oxygenated blood to the body, the aorta is the main artery that carries blood away from the heart, and the tricuspid valve is a one-way valve that ensures blood flows properly through the heart, none of these structures initiate the electrical impulses that cause the cardiac muscle to contract.

2. Which hormone, produced by the pancreas, is involved in the regulation of blood sugar levels by inhibiting the release of insulin and promoting the release of glucose into the bloodstream?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: D

Rationale: The correct answer is D, Somatostatin. Somatostatin is a hormone produced by the pancreas that plays a crucial role in regulating blood sugar levels by inhibiting the release of insulin and promoting the release of glucose into the bloodstream. It acts as a counterbalance to insulin, preventing excess insulin secretion and ensuring the availability of glucose when needed. Therefore, somatostatin helps maintain blood sugar balance in the body. Choices A, B, and C are incorrect. Insulin is responsible for lowering blood sugar levels, while glucagon and cortisol have roles that differ from the functions described in the question.

3. Which fibrous connective tissue connects a muscle to a bone, allowing movement at a joint?

• A. Tendon
• B. Ligament
• C. Cartilage
• D. Bursa

Correct answer: A

Rationale: Tendons, the correct answer, are fibrous connective tissues that connect muscles to bones, enabling movement at joints. They play a crucial role in transmitting the force generated by muscles to the bones, facilitating movement. Ligaments (option B) connect bone to bone, providing stability to joints. Cartilage (option C) is a flexible tissue that acts as a cushion, reducing friction between bones in joints. Bursae (option D) are fluid-filled sacs located near joints that help reduce friction between tissues such as tendons and bones.

4. What is the function of the cell membrane?

• A. To protect the cell and control what enters and exits
• B. To store energy
• C. To produce proteins
• D. To synthesize lipids

Correct answer: A

Rationale: The cell membrane, also known as the plasma membrane, serves as a protective barrier for the cell, separating the internal environment of the cell from the external environment. It is selectively permeable, meaning it controls the passage of substances in and out of the cell. This regulation of what enters and exits the cell is crucial for maintaining the cell's internal environment and ensuring proper functioning. Options B, C, and D are incorrect because storing energy, producing proteins, and synthesizing lipids are functions carried out by other cellular structures such as mitochondria, ribosomes, and endoplasmic reticulum, respectively, not the cell membrane.

5. The patella, commonly known as the kneecap, is an example of a:

• A. Sesamoid bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The patella, also known as the kneecap, is an example of a sesamoid bone. Sesamoid bones develop within tendons, such as the patellar tendon in this case. The patella is embedded in the tendon of the quadriceps muscle, enhancing the mechanical advantage of the muscle and protecting the knee joint. Long bones, like the femur, are characterized by their elongated shape with growth plates at the ends. Short bones, such as those in the wrist and ankle, are cube-shaped bones. Irregular bones, like vertebrae, do not fit into the other bone shape categories due to their unique shapes and functions.

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