Nursing Elites

1. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

2. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

3. A guitar string vibrates at a fundamental frequency of 440 Hz. What is the frequency of the second harmonic (first overtone)?

• A. 220 Hz
• B. 440 Hz
• C. 880 Hz
• D. 1760 Hz

Correct answer: C

Rationale: The second harmonic (first overtone) is twice the frequency of the fundamental frequency. Therefore, the frequency of the second harmonic is 440 Hz * 2 = 880 Hz. The second harmonic has a frequency that is one octave higher than the fundamental frequency, representing the first overtone of the vibrating string. Choice A (220 Hz) is incorrect as it represents half the fundamental frequency and is the second harmonic, not the first overtone. Choice B (440 Hz) is the fundamental frequency itself. Choice D (1760 Hz) is the frequency of the fourth harmonic, not the second harmonic.

4. What is a contraceptive method that uses hormones to prevent ovulation?

• A. Spermicide
• B. Barrier method (condom, diaphragm)
• C. Combined oral contraceptive pill
• D. Intrauterine device (IUD)

Correct answer: C

Rationale: The correct answer is the Combined oral contraceptive pill (C). This method contains hormones (estrogen and progestin) that prevent ovulation, making it an effective contraceptive. Spermicide (A) is a substance that kills sperm and does not use hormones to prevent ovulation. Barrier methods (B) like condoms and diaphragms physically block sperm but do not involve hormone-induced prevention of ovulation. Intrauterine devices (IUDs) (D) prevent pregnancy through different mechanisms, such as altering the uterine environment and preventing sperm from fertilizing the egg, not by hormone-induced prevention of ovulation.

5. Which types of molecules can move through a cell membrane by passive transport?

• A. Complex sugars
• B. Non-lipid soluble molecules
• C. Oxygen
• D. Molecules moving from areas of low concentration to areas of high concentration

Correct answer: C

Rationale: The correct answer is C: Oxygen. Small, non-polar molecules like oxygen can easily pass through the cell membrane by passive transport as they move down their concentration gradient without the need for energy input. Complex sugars (choice A) are typically too large to pass through the membrane by passive transport. Non-lipid soluble molecules (choice B) may require active transport mechanisms. Choice D describes active transport, where molecules move against their concentration gradient, requiring energy input.

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