Nursing Elites

1. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

2. When an individual is under stress, hormones are released. Which of the following is not one of the locations in which hormones are released when under stress?

• A. Posterior pituitary
• B. Hypothalamus
• C. Adrenal cortex
• D. Parathyroid

Correct answer: D

Rationale: During stress, hormones are released from the adrenal cortex, posterior pituitary, and hypothalamus to help the body respond. The parathyroid gland, however, is not typically involved in the stress response by releasing hormones. The posterior pituitary releases hormones like oxytocin and vasopressin, the hypothalamus secretes corticotropin-releasing hormone (CRH) and vasopressin, while the adrenal cortex releases cortisol and aldosterone in response to stress. Therefore, the correct answer is 'Parathyroid.'

3. Which of these can provide significant protein to a person on a vegan diet?

• A. Eggs
• B. Fish
• C. Tofu
• D. Leafy greens

Correct answer: C

Rationale: Tofu is a plant-based source of protein that can provide a significant amount of protein to a person on a vegan diet. It is made from soybeans and is a versatile ingredient that can be used in various dishes to increase protein intake. Tofu is a good option for vegans looking to meet their protein needs. Eggs and fish are not suitable for a vegan diet as they are animal products. While leafy greens do contain some protein, they are not considered a significant protein source compared to tofu.

4. Which of the following is not part of the axial skeletal system?

• A. the skull
• B. the ribs
• C. the breastbone
• D. the radius

Correct answer: D

Rationale: The correct answer is D, the radius. The axial skeleton comprises bones located along the central axis of the body. It includes the skull, ribs, breastbone (sternum), vertebrae, and sacrum. The radius, on the other hand, is a bone of the forearm, part of the appendicular skeleton. The appendicular skeleton consists of the bones of the limbs and their girdles, not the central axial bones.

5. What is the role of the spleen in the lymphatic system?

• A. To filter blood and remove old red blood cells
• B. To produce lymphocytes
• C. To store vitamins
• D. To regulate body temperature

Correct answer: A

Rationale: The spleen plays a crucial role in the lymphatic system by filtering blood, specifically removing old or damaged red blood cells. Additionally, the spleen produces lymphocytes, a type of white blood cell that plays a key role in the immune response by helping to fight off infections. Therefore, the correct answer is A, as the spleen is primarily involved in blood filtration and the production of lymphocytes rather than storing vitamins or regulating body temperature.

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