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. Which type of blood vessel carries blood back to the heart?

• A. Arteries
• B. Capillaries
• C. Veins
• D. Lymphatic vessels

Correct answer: C

Rationale: Veins are the blood vessels that carry deoxygenated blood back to the heart, except for the pulmonary veins which carry oxygenated blood from the lungs. Arteries carry oxygenated blood away from the heart. Capillaries facilitate the exchange of nutrients and gases between the blood and tissues but do not specifically carry blood back to the heart. Lymphatic vessels are part of the lymphatic system responsible for immune function and do not directly carry blood back to the heart. Therefore, the correct answer is veins.

3. Which of the following describes the process of osmosis?

• A. Diffusion of solutes across a membrane
• B. Movement of water across a selectively permeable membrane
• C. Movement of gases across a membrane
• D. Active transport of ions across a membrane

Correct answer: B

Rationale: Osmosis is the process where water molecules move across a selectively permeable membrane from an area of lower solute concentration to an area of higher solute concentration. This movement of water helps to equalize the concentration of solutes on both sides of the membrane. The correct description of osmosis is the movement of water across a selectively permeable membrane, making choice B the right answer. Choices A, C, and D are incorrect because osmosis specifically refers to the movement of water molecules, not solutes, gases, or ions across a membrane.

4. A tissue examined under the microscope exhibits the following characteristics: cells found on the internal surface of the stomach, no extracellular matrix, cells tall and thin, and no blood vessels in the tissue. What type of tissue is this?

• A. Epithelial
• B. Connective
• C. Muscle
• D. Cartilage

Correct answer: A

Rationale: The correct answer is 'Epithelial.' Epithelial tissue is characterized by cells that cover internal and external surfaces, such as the lining of the stomach. It lacks an extracellular matrix, has tall and thin cells, and does not contain blood vessels. The other choices are incorrect because connective tissue typically has an extracellular matrix, muscle tissue is composed of contractile cells, and cartilage is a type of connective tissue with a specific extracellular matrix and cell arrangement.

5. Which gland produces hormones that regulate sleep?

• A. Thyroid gland
• B. Pineal gland
• C. Adrenal gland
• D. Pituitary gland

Correct answer: B

Rationale: The pineal gland secretes melatonin, a hormone that plays a crucial role in regulating the sleep-wake cycle. Melatonin production is influenced by exposure to light, with levels increasing in the evening to promote sleep and decreasing in the morning to signal wakefulness. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism, the adrenal gland produces hormones like adrenaline and cortisol related to stress response, and the pituitary gland controls various functions by releasing different hormones but not specifically related to regulating sleep.

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