Nursing Elites

1. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases carbon dioxide-rich air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: A

Rationale: Exhalation (expiration) involves active muscle contraction, specifically the diaphragm and intercostal muscles, to decrease the volume of the thoracic cavity and push air out of the lungs. In contrast, inhalation (inspiration) is a passive process where the diaphragm and external intercostal muscles contract to increase the thoracic cavity volume, allowing air to flow into the lungs. Choice B is incorrect as exhalation removes carbon dioxide-rich air and inhalation brings in oxygen-rich air. Choice C is incorrect because both exhalation and inhalation can occur through the nose or mouth. Choice D is inaccurate as inhalation humidifies and warms the air, while exhalation cools and dries it.

2. What is the primary function of antibodies?

• A. Production of white blood cells
• B. Initiation of gluconeogenesis
• C. Promotion of intracellular storage of lipids
• D. Facilitate the breakdown of antigens

Correct answer: D

Rationale: The correct answer is D: Facilitate the breakdown of antigens. Antibodies are protein molecules produced by the immune system in response to the presence of foreign substances, known as antigens, in the body. Antibodies bind to specific antigens and mark them for destruction by other immune cells, thereby helping the body to defend against infections and other threats. Choices A, B, and C are incorrect because antibodies do not have a direct role in the production of white blood cells, initiation of gluconeogenesis, or promotion of intracellular storage of lipids. The primary function of antibodies is to target and facilitate the destruction of antigens in the body.

3. What is the action of the triceps reflex?

• A. Forces contraction of the triceps and extension of the arm.
• B. Forces contraction of the biceps, relaxation of the biceps, and arm extension.
• C. Causes the triceps to contract, causing the forearm to supinate and flex.
• D. Causes the triceps to relax and the upper arm to pronate and extend.

Correct answer: A

Rationale: The triceps reflex causes the triceps muscle to contract, leading to the extension of the arm. This reflex is a protective response to sudden stretching of the triceps muscle, as seen when a physician taps the triceps tendon during a physical examination. Choice A is the correct answer as it accurately reflects the action of the triceps reflex. Choices B, C, and D are incorrect because they describe actions that are not associated with the triceps reflex. Biceps contraction, forearm supination, flexion, triceps relaxation, and pronation are not part of the triceps reflex arc.

4. Which of the following hormones is primarily responsible for regulating metabolism?

• A. Insulin
• B. Testosterone
• C. Adrenaline
• D. Thyroid hormone

Correct answer: D

Rationale: Thyroid hormone is the correct answer as it is primarily responsible for regulating metabolism. It plays a crucial role in controlling the body's metabolic rate, affecting how the body uses energy from food. Thyroid hormone levels can influence metabolism, energy production, and body weight regulation. Insulin, choice A, is involved in regulating blood sugar levels, not directly metabolism. Testosterone, choice B, is a sex hormone that primarily affects the development of male reproductive tissues. Adrenaline, choice C, is involved in the fight-or-flight response and not primarily responsible for regulating metabolism.

5. The kidneys are bean-shaped organs responsible for filtering waste products from the blood. What is the main nitrogenous waste product the kidneys eliminate?

• A. Carbon dioxide
• B. Ammonia
• C. Urea
• D. Glucose

Correct answer: C

Rationale: The correct answer is C, urea. Urea is the main nitrogenous waste product eliminated by the kidneys. It is produced in the liver from protein metabolism and excreted in urine. Carbon dioxide is eliminated through the lungs as a waste product of cellular respiration and not by the kidneys. Ammonia, a toxic waste product, is converted to urea in the liver before being excreted by the kidneys. Glucose is a sugar that is reabsorbed by the kidneys and not excreted as waste.

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