Nursing Elites

1. Which type of muscle is under voluntary control?

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

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing for conscious movement of the body. Smooth muscle and cardiac muscle are both types of involuntary muscles that are not under conscious control. Smooth muscle is found in the walls of internal organs and blood vessels, functioning involuntarily. Cardiac muscle makes up the heart and contracts involuntarily to pump blood. Involuntary muscle (choice D) is a general term that encompasses smooth muscle and cardiac muscle, which operate involuntarily throughout the body.

2. A large geographic area characterized by similar climate, plants, and animals is called a:

• A. Population
• B. Community
• C. Biome
• D. Ecosystem

Correct answer: C

Rationale: A) Population refers to a group of individuals of the same species living in a specific area. B) Community refers to all the populations of different species living and interacting in a particular area. C) Biome is a large geographic area characterized by similar climate, plants, and animals. Biomes are defined by factors such as temperature, precipitation, and vegetation types. D) Ecosystem refers to a community of living organisms interacting with each other and their physical environment. An ecosystem can be part of a biome.

3. Through which part of the digestive system are nutrients absorbed into the bloodstream?

• A. Stomach
• B. Large intestine
• C. Small intestine
• D. Esophagus

Correct answer: C

Rationale: The small intestine is the primary site of nutrient absorption in the digestive system. It is where the majority of digestion and absorption of nutrients such as carbohydrates, proteins, and fats occurs. The inner lining of the small intestine is covered in tiny finger-like projections called villi, which increase the surface area available for absorption. Nutrients are absorbed through the walls of the small intestine and into the bloodstream to be transported to cells throughout the body. The stomach's main role is to break down food through the action of stomach acids and enzymes but does not absorb nutrients. The large intestine primarily absorbs water and electrolytes from the remaining indigestible food matter, and the esophagus is a muscular tube that transports food from the mouth to the stomach, without being involved in nutrient absorption.

4. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

5. The 'fight-or-flight' response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

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