Nursing Elites

1. Is the parietal pericardium attached to the surface of the heart?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The parietal pericardium is a tough, fibrous outer layer that is attached to the diaphragm and the sternum but not directly to the surface of the heart. It forms a sac around the heart known as the pericardial sac. Therefore, the statement that the parietal pericardium is attached to the surface of the heart is false.

2. The organ systems responsible for integration and coordination are the nervous and endocrine systems.

• A. True
• B. False
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The correct answer is True. The nervous and endocrine systems are indeed responsible for integration and coordination in the body. The nervous system uses electrical impulses to send signals quickly, while the endocrine system uses hormones to send chemical messages more slowly. Together, they work to regulate various bodily functions and maintain homeostasis. The other choices are incorrect as the statement accurately describes the roles of the nervous and endocrine systems in integration and coordination.

3. Lowering the hand by straightening the elbow affects which of the following muscles?

• A. biceps brachii
• B. triceps brachii
• C. brachialis
• D. brachioradialis

Correct answer: B

Rationale: Lowering the hand by straightening the elbow is the action of extending the forearm, which is primarily done by the triceps brachii muscle. The triceps brachii is the main extensor muscle of the elbow joint. The biceps brachii is responsible for flexing the elbow, not extending it, making it an incorrect choice. Brachialis is a strong elbow flexor, and brachioradialis helps in flexing the elbow and pronating the forearm, so they are not the primary muscles involved in straightening the elbow.

4. What is the most useful application of ultrasonography for diagnostic examination?

• A. dense organs, such as bones.
• B. air-filled organs, such as lungs.
• C. soft internal structures, such as fetuses.
• D. microscopic structures.

Correct answer: C

Rationale: Ultrasonography is a medical imaging technique that uses sound waves to visualize internal body structures. It is particularly effective for examining soft tissues like organs, blood vessels, and fetuses. Choice A is incorrect because bones are better visualized using techniques like X-rays. Choice B is incorrect as air-filled organs like lungs are not well visualized with ultrasound due to air being a poor conductor of sound waves. Choice D is incorrect since ultrasonography cannot visualize structures at a microscopic level, as it is used for larger internal structures.

5. Ceroid pigments and lipofuscin accumulate with aging, impairing a cell's ability to withstand the damaging effects of oxygen free radicals.

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement provided in the question is true. Ceroid pigments and lipofuscin are products of cellular damage and aging. These substances accumulate within cells over time and can impair cellular functions, including the ability to withstand the damaging effects of oxygen free radicals. Choice B, 'False,' is incorrect because the accumulation of ceroid pigments and lipofuscin does indeed impair a cell's ability to deal with oxidative stress. Choices C and D are also incorrect as the statement is true.

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