Nursing Elites

1. What are the three layers of the heart?

• A. Endocardium, myocardium, epicardium
• B. Pericardium, endocardium, myocardium
• C. Epicardium, myocardium, endocardium
• D. Pericardium, myocardium, endocardium

Correct answer: C

Rationale: The correct answer is C: Epicardium, myocardium, endocardium. The heart wall consists of three layers: the outer layer is the epicardium, the middle muscular layer is the myocardium, and the inner layer is the endocardium. Understanding the layers of the heart is essential for comprehending its structure and function. Choices A, B, and D are incorrect because they do not present the layers of the heart in the correct order. The pericardium is the outermost layer that surrounds the heart, but it is not part of the heart wall itself. Therefore, choices B and D are incorrect. Choice A is incorrect as it presents the layers in the wrong order, starting with the endocardium instead of the epicardium, which is the outermost layer.

2. What is the best tool to measure the volume of a solid?

• A. Triple beam balance
• B. Measuring wheel and mathematical formula
• C. Graduated cylinder
• D. Measuring wheel

Correct answer: C

Rationale: A graduated cylinder is the most suitable tool to measure the volume of both liquids and solids. It works by measuring the displacement of water when the solid is submerged in the graduated cylinder. Choice A, the triple beam balance, is used to measure mass, not volume. Choice B, using a measuring wheel and mathematical formula, is typically used to measure distance or area, not volume. Choice D, a measuring wheel, is used to measure distance, making it inappropriate for measuring the volume of a solid.

3. Which of the following is NOT a major division of the nervous system?

• A. Peripheral nervous system
• B. Central nervous system
• C. Somatic nervous system
• D. Autonomic nervous system

Correct answer: C

Rationale: The correct answer is C: Somatic nervous system. The major divisions of the nervous system are the central nervous system, which includes the brain and spinal cord, and the peripheral nervous system, which includes all the nerves outside of the central nervous system. The somatic nervous system, which controls voluntary movements and reflexes, is a part of the peripheral nervous system. The autonomic nervous system is another subdivision of the peripheral nervous system that regulates involuntary functions like heart rate and digestion. Therefore, the somatic nervous system is not a major division of the nervous system, making it the correct answer.

4. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

5. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

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