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. Positive feedback mechanisms usually result in

• A. changes returning values away from a set point.
• B. stable conditions around a set point.
• C. unstable conditions.
• D. long-term changes.

Correct answer: C

Rationale: Positive feedback mechanisms usually result in unstable conditions. In a positive feedback loop, the output enhances or amplifies the changes that are occurring, leading to a deviation from the initial set point. Therefore, positive feedback does not bring values back towards the set point (Choice A). Choice B is incorrect because positive feedback does not promote stability around a set point. Choice D is also incorrect as positive feedback mechanisms typically do not lead to long-term changes; instead, they intensify the initial change, causing instability.

3. A parietal layer of a serous membrane lines cavities, whereas a visceral layer of a serous membrane covers organs.

• A. covers organs; lines cavities
• B. lines cavities; covers organs
• C. secretes serous fluid; secretes mucus
• D. secretes mucus; secretes a serous fluid

Correct answer: B

Rationale: In serous membranes, the parietal layer lines the cavities, providing support and protection, while the visceral layer covers the organs, reducing friction and allowing them to move freely. Therefore, the correct answer is 'lines cavities; covers organs.' Choices C and D are incorrect because serous membranes do not secrete mucus; instead, they secrete a watery serous fluid. Choice A is incorrect as it reverses the functions of the parietal and visceral layers in relation to organs and cavities.

4. Which of the following is not an example of a homeostatic mechanism in the human body?

• A. Shivering when the body temperature falls below normal.
• B. Increasing heart rate and force of contraction when blood pressure falls.
• C. Retaining fluid excessively.
• D. Secreting insulin after a meal to return blood sugar concentration toward normal.

Correct answer: C

Rationale: The correct answer is C. Homeostatic mechanisms aim to maintain internal stability within the body. Choices A, B, and D all represent examples of homeostatic mechanisms. Shivering helps generate heat to raise body temperature back to normal levels. Increasing heart rate and force of contraction work to restore blood pressure. Insulin secretion after a meal helps regulate blood sugar levels. On the other hand, retaining fluid excessively can lead to fluid imbalance rather than maintaining internal stability, making it the incorrect choice.

5. What is the membrane on the surface of a lung called?

• A. visceral pleura
• B. parietal pleura
• C. visceral pericardium
• D. parietal pericardium

Correct answer: A

Rationale: The correct answer is A: visceral pleura. The membrane covering the surface of the lungs is called the visceral pleura. It is a serous membrane that is in direct contact with the lung tissue. Choices B, C, and D are incorrect because the parietal pleura covers the inner surface of the chest wall and diaphragm, the visceral pericardium covers the surface of the heart, and the parietal pericardium is the outer layer of the pericardium surrounding the heart, respectively.

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