Nursing Elites

1. Which type of joint is found in the neck and allows for rotational movement?

• A. Hinge joint
• B. Pivot joint
• C. Ball and socket joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Pivot joint. A pivot joint, like the one found in the neck, allows for rotational movement, enabling the head to turn from side to side. Hinge joints (Choice A) allow movement in one plane like a door hinge and are not found in the neck. Ball and socket joints (Choice C) allow for a wide range of motion in multiple directions and are typically found in the hip and shoulder. Saddle joints (Choice D) allow for movement back and forth and side to side, like the thumb joint, but are not found in the neck.

2. Which muscle is responsible for breathing?

• A. Diaphragm
• B. Intercostal muscles
• C. Rectus abdominis
• D. Pectoralis major

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for breathing. It is a large, dome-shaped muscle located at the base of the chest cavity. When it contracts, it flattens, increasing the volume of the chest cavity and causing inhalation. When it relaxes, it returns to its dome shape, decreasing the volume of the chest cavity and causing exhalation. The intercostal muscles, located between the ribs, assist the diaphragm in breathing by expanding and contracting the chest cavity. The rectus abdominis and pectoralis major are not directly involved in the process of breathing.

3. Which hormone is released by the adrenal medulla?

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

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

4. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

5. Which bone does not articulate with any other bone?

• A. Femur
• B. Hyoid
• C. Radius
• D. Scapula

Correct answer: B

Rationale: The hyoid bone is the correct answer as it is the only bone in the human body that does not articulate with any other bone. Instead, it is suspended in the neck by ligaments and muscles, providing support for the tongue and serving as an attachment point for various throat and tongue muscles. The femur (Choice A), radius (Choice C), and scapula (Choice D) all articulate with other bones in the body at various joints, making them incorrect answers for this question.

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