Nursing Elites

1. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: The correct answer is 'B: Cardiac muscle.' Cardiac muscle is the specific type of muscle found in the heart. Unlike smooth muscle and skeletal muscle, cardiac muscle is involuntary and contracts rhythmically to pump blood throughout the body, making it essential for the heart's function. Smooth muscle (Choice A) is found in the walls of hollow organs and blood vessels, while skeletal muscle (Choice C) is attached to bones and responsible for movement. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control.

2. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. Which deadly disease was eliminated through an intensive vaccination program?

• A. AIDS
• B. Smallpox
• C. Diabetes type 1
• D. Rheumatoid arthritis

Correct answer: B

Rationale: Smallpox was eradicated globally through an intensive vaccination program. The World Health Organization (WHO) led a successful global campaign to vaccinate people against smallpox, ultimately leading to its eradication in 1980. AIDS, diabetes type 1, and rheumatoid arthritis are serious conditions, but they were not eliminated through vaccination programs like smallpox. Therefore, the correct answer is B, Smallpox. AIDS is caused by the human immunodeficiency virus (HIV) and remains a significant global health issue. Diabetes type 1 is an autoimmune condition where the body attacks insulin-producing cells, leading to high blood sugar levels. Rheumatoid arthritis is an autoimmune condition that primarily affects the joints, causing inflammation and pain.

4. Which dome-shaped muscular structure separates the chest cavity from the abdominal cavity?

• A. Diaphragm
• B. Sternum
• C. Pericardium
• D. Trachea

Correct answer: A

Rationale: The diaphragm is the correct answer. It is a dome-shaped muscular structure that separates the chest cavity from the abdominal cavity. The diaphragm plays a crucial role in breathing by contracting and relaxing to change thoracic volume during inhalation and exhalation. The sternum is a flat bone in the center of the chest and is not the structure that separates the chest and abdominal cavities. The pericardium is a membrane that surrounds the heart, not involved in separating cavities. The trachea is the windpipe that connects the larynx to the bronchi and is not the structure that separates the chest and abdominal cavities.

5. What is the muscular sac that stores urine until it is released from the body known as?

• A. Urethra
• B. Bladder
• C. Ureter
• D. Nephron

Correct answer: B

Rationale: The bladder is the muscular sac that stores urine until it is released from the body. It acts as a reservoir for urine until it is eliminated through the urethra. The urethra is the tube responsible for carrying urine from the bladder to the outside. The ureter transports urine from the kidneys to the bladder. The nephron is the structural and functional unit of the kidney involved in the filtration of blood and urine production. Therefore, the correct answer is the bladder, as it specifically fulfills the function of storing urine before its elimination.

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