Nursing Elites

1. What is the approximate composition of blood?

• A. 45% plasma, 55% formed elements
• B. 55% plasma, 45% formed elements
• C. 55% water, 45% blood cells
• D. 45% water, 55% plasma

Correct answer: B

Rationale: Blood is composed of approximately 55% plasma (mostly water with proteins, electrolytes, and nutrients) and 45% formed elements (red blood cells, white blood cells, and platelets). Choice B is the correct answer. Choice A is incorrect as it reverses the percentages. Choice C is incorrect because it incorrectly states that blood cells make up 45% of blood, while they are part of the formed elements along with platelets. Choice D is incorrect as it suggests that water makes up 45% of blood, which is not accurate.

2. Which of the following meninges is a thin membrane containing numerous nerves and blood vessels that supply nourishment to the underlying brain cells and spinal cord?

• A. Arachnoid mater
• B. Dura mater
• C. Periosteum
• D. Pia mater

Correct answer: D

Rationale: The pia mater is the correct answer. It is a thin, innermost layer of the meninges that contains numerous nerves and blood vessels, providing nourishment to the underlying brain cells and spinal cord. The arachnoid mater (Choice A) is the middle layer of the meninges and does not contain as many nerves and blood vessels as the pia mater. The dura mater (Choice B) is the tough, outermost layer of the meninges and is not responsible for supplying nourishment. The periosteum (Choice C) is a connective tissue membrane covering bones, not part of the meninges.

3. Which part of the brain controls the coordination of muscle movements?

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

Correct answer: B

Rationale: The cerebellum is the part of the brain responsible for controlling the coordination of muscle movements and helping to maintain balance. It receives information from the sensory systems, the spinal cord, and other parts of the brain to regulate voluntary movements. The cerebrum (choice A) is primarily responsible for higher brain functions such as thinking and decision-making, not muscle coordination. The thalamus (choice C) acts as a relay station for sensory information but is not directly involved in muscle coordination. The medulla oblongata (choice D) is responsible for regulating vital autonomic functions like breathing and heart rate, rather than muscle coordination.

4. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

5. Which muscle is the largest in the human body?

• A. Gluteus maximus (buttocks)
• B. Quadriceps femoris (thighs)
• C. Erector spinae (back)
• D. Pectoralis major (chest)

Correct answer: A

Rationale: The correct answer is A, the gluteus maximus (buttocks). The gluteus maximus is indeed the largest muscle in the human body, located at the back of the hip and stretching from the sacrum to the femur. This muscle is crucial for hip joint extension, playing a significant role in various activities such as walking, running, and climbing stairs. Choices B, C, and D are incorrect. While the quadriceps femoris, erector spinae, and pectoralis major are also important muscles, they are not the largest muscle in the human body.

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