Nursing Elites

1. Which of the heart's four chambers is the largest and the strongest?

• A. Right atrium
• B. Left ventricle
• C. Right ventricle
• D. Left atrium

Correct answer: B

Rationale: The left ventricle is the largest and strongest chamber of the heart. It pumps oxygenated blood to the body, making it vital for systemic circulation. The right atrium receives deoxygenated blood from the body, the right ventricle pumps this blood to the lungs, and the left atrium receives oxygenated blood from the lungs.

2. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

3. 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.

4. Which bone does not articulate with any other bone?

• A. Femur
• B. Hyoid
• C. Radius
• D. Tibia

Correct answer: B

Rationale: The correct answer is the Hyoid bone. The hyoid bone is distinctive as it does not directly articulate with any other bone in the body. Instead, it is held in place by muscles and ligaments, playing a crucial role in supporting the tongue and providing attachment points for various muscles involved in swallowing and speech. The other choices, Femur, Radius, and Tibia, all articulate with other bones in the body. The femur articulates with the hip bone, the radius articulates with the ulna and other bones in the wrist, and the tibia articulates with the femur and fibula.

5. What is the main function of the large intestine?

• A. Absorption of nutrients
• B. Absorption of water
• C. Secretion of digestive enzymes
• D. Breaking down fats

Correct answer: B

Rationale: The main function of the large intestine is the absorption of water and electrolytes from indigestible food residues, helping to form solid waste (feces) for elimination. It mainly reabsorbs water and compacts the remaining material into feces, playing a crucial role in maintaining fluid balance in the body. Choices A, C, and D are incorrect because absorption of nutrients primarily occurs in the small intestine, secretion of digestive enzymes mainly occurs in the stomach and small intestine, and breaking down fats primarily occurs in the small intestine with the help of bile from the liver and enzymes.

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