Nursing Elites

1. 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.

2. Which hormone is released by the adrenal medulla?

• A. Cortisol
• B. Adrenaline
• C. Insulin
• D. Somatostatin

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

3. What structure links the nasopharynx to the middle ear?

• A. Larynx
• B. Pharyngeal muscles
• C. Eustachian tube
• D. Bronchus

Correct answer: C

Rationale: The Eustachian tube is the structure that connects the nasopharynx to the middle ear. It functions to equalize pressure between the middle ear and the atmosphere, protecting the eardrum from damage and aiding in the drainage of fluid from the middle ear. This connection is essential for maintaining proper ear function and health. The larynx (Choice A) is not the correct structure that links the nasopharynx to the middle ear. Pharyngeal muscles (Choice B) are involved in swallowing and do not directly link the nasopharynx to the middle ear. The bronchus (Choice D) is part of the respiratory system and is not connected to the middle ear.

4. Which part of the brain is responsible for balance and coordination?

• A. Cerebellum
• B. Cerebrum
• C. Medulla oblongata
• D. Hypothalamus

Correct answer: A

Rationale: The correct answer is the cerebellum. The cerebellum, situated at the back of the brain, is responsible for coordinating voluntary movements and maintaining balance and posture. It receives information from the sensory systems, the spinal cord, and other parts of the brain to regulate motor movements. The cerebrum (choice B) is responsible for higher brain functions such as thinking and decision-making, the medulla oblongata (choice C) controls vital autonomic functions like breathing and heart rate, and the hypothalamus (choice D) is involved in regulating basic biological needs like hunger, thirst, and body temperature.

5. Which parts of the heart are separated by the mitral valve?

• A. Left atrium and right atrium
• B. Right atrium and right ventricle
• C. Left ventricle and right ventricle
• D. Left atrium and left ventricle

Correct answer: D

Rationale: The mitral valve, also known as the bicuspid valve, separates the left atrium and the left ventricle of the heart. Its primary function is to prevent the backflow of blood from the left ventricle to the left atrium during the heart's contraction. Therefore, option D, 'Left atrium and left ventricle,' is the correct answer. Choices A, B, and C are incorrect because they do not represent the parts separated by the mitral valve.

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