Nursing Elites

1. What are fingernails and toenails primarily made of?

• A. Collagen (Collagen is found in the dermis)
• B. Keratin
• C. Melanin (Melanin provides pigment, not structure)
• D. Sebum (Sebum is an oily substance)

Correct answer: B

Rationale: Fingernails and toenails are primarily made of a protein called keratin. Keratin is a tough, fibrous protein that provides structure and strength to nails, hair, and the outer layer of skin. Collagen, as mentioned, is found in the dermis and is not the primary component of nails. Melanin provides pigment to the skin and hair, not the structure of nails. Sebum is an oily substance produced by the skin's sebaceous glands and is not a structural component of nails.

2. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: A ball-and-socket joint allows for the most movement among the options provided. This type of joint is characterized by a rounded end of one bone fitting into a cup-like socket of another bone, allowing for a wide range of motion in multiple directions. The shoulder joint is a prime example of a ball-and-socket joint, enabling movements such as flexion, extension, abduction, adduction, and rotation. In contrast, a hinge joint (option B) like the elbow primarily allows for movement in one plane (flexion and extension). Fibrocartilaginous joints (option C) like the wrists have limited movement due to the presence of cartilage between the bones. Suture joints (option D) in the skull are immovable joints that provide structural support but do not allow for significant movement.

3. Why is maintaining good muscle strength and flexibility as we age important?

• A. To prevent headaches
• B. To prevent falls
• C. To reduce anxiety
• D. To avoid the common cold

Correct answer: B

Rationale: Maintaining good muscle strength and flexibility as we age is crucial to prevent falls. Strong muscles and good flexibility help improve balance and stability, reducing the risk of falls, which can lead to serious injuries, especially in older adults. Falls are a significant concern for the elderly population, and preventing them through muscle strength and flexibility can enhance overall quality of life. Headaches are not directly related to muscle strength and flexibility; they can have various causes such as stress, dehydration, or underlying health conditions. Anxiety is a mental health condition and not directly prevented by muscle strength and flexibility. Similarly, the common cold is a viral infection and is not influenced by muscle strength and flexibility.

4. During micturition, the process involves a combination of:

• A. Gravity alone
• B. Voluntary muscle contractions only
• C. Involuntary muscle contractions only
• D. Both voluntary and involuntary muscle contractions

Correct answer: D

Rationale: During micturition, which is the process of urination, both voluntary and involuntary muscle contractions are involved. Voluntary muscle contractions include the relaxation of the external urethral sphincter, allowing the release of urine, while involuntary muscle contractions involve the detrusor muscle in the bladder contracting to expel urine. Choices A, B, and C are incorrect because micturition is not solely dependent on gravity, voluntary muscle contractions, or involuntary muscle contractions alone. The correct answer is D as both types of muscle contractions are necessary for the complete process of urination.

5. Which property of a substance refers to its ability to be stretched into thin wires without breaking?

• A. Conductivity
• B. Viscosity
• C. Ductility
• D. Malleability

Correct answer: C

Rationale: Ductility is the property of a substance that allows it to be stretched into thin wires without breaking. This property is distinct from the other options provided. Conductivity refers to the ability to conduct electricity or heat, viscosity refers to a liquid's resistance to flow, and malleability refers to the ability of a substance to be hammered or rolled into thin sheets. Therefore, the correct answer is 'Ductility.'

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