Nursing Elites

1. What happens during expiration?

• A. The diaphragm contracts and the thoracic cavity expands.
• B. The diaphragm relaxes and the thoracic cavity contracts.
• C. The thoracic cavity expands, increasing pressure.
• D. The diaphragm relaxes and moves upward.

Correct answer: B

Rationale: The correct answer is B. During expiration, the diaphragm relaxes, causing the thoracic cavity to contract. As the thoracic cavity decreases in size, the pressure inside the lungs increases, leading to air flowing out of the lungs. This process helps to expel carbon dioxide-rich air from the body. Choices A, C, and D are incorrect. In choice A, the diaphragm contracting and the thoracic cavity expanding describes inspiration, not expiration. Choice C is incorrect because during expiration, the thoracic cavity actually decreases in size. Choice D is incorrect as the diaphragm moving upward is not a typical movement associated with expiration.

2. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

3. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: Trypsin is the correct enzyme that breaks down proteins into amino acids. It is produced by the pancreas and released into the small intestine to facilitate protein digestion. Pepsin is an enzyme from the stomach that also breaks down proteins, amylase targets carbohydrates, and lipase works on fats. In this context, since the question specifies the pancreas and small intestine, the correct answer is Trypsin as it is the pancreatic enzyme responsible for protein breakdown in the small intestine.

4. Which of the following is NOT an element of the respiratory system?

• A. Ribs
• B. Trachea
• C. Diaphragm
• D. Alveoli

Correct answer: A

Rationale: The correct answer is A: Ribs. The ribs are part of the skeletal system, providing structure and protection to the thoracic cavity. The trachea, diaphragm, and alveoli are all essential components of the respiratory system. The trachea carries air to and from the lungs, the diaphragm aids in breathing by contracting and relaxing to change the volume of the thoracic cavity, and the alveoli are tiny air sacs where gas exchange occurs in the lungs. Therefore, ribs do not play a direct role in the respiratory process and are not considered a part of the respiratory system.

5. Two nursing students will be completing a scientific experiment measuring the mass of chewed gum after one-minute chewing increments. Which lab equipment will the students most likely use?

• A. Triple beam balance
• B. Anemometer
• C. Hot plate
• D. Microscope

Correct answer: A

Rationale: The correct answer is A: Triple beam balance. A triple beam balance is the most suitable lab equipment for measuring mass accurately, which is necessary for this experiment. An anemometer measures wind speed, a hot plate is used for heating substances, and a microscope is used for magnifying objects, none of which are relevant to measuring the mass of chewed gum.

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