Nursing Elites

1. What is the name of the structure that prevents food from entering the airway?

• A. trachea
• B. esophagus
• C. diaphragm
• D. epiglottis

Correct answer: D

Rationale: The epiglottis is the structure that prevents food from entering the airway. It acts as a lid over the trachea during swallowing, directing food to the esophagus instead of the windpipe (trachea). The trachea (Choice A) is the windpipe that allows air to pass into the lungs, the esophagus (Choice B) is the tube that carries food from the mouth to the stomach, and the diaphragm (Choice C) is a muscle involved in breathing and not in preventing food passage.

2. Which of the following is not part of the body’s secondary defense system?

• A. Macrophages
• B. Leukocytes
• C. T cells
• D. Cilia

Correct answer: D

Rationale: Cilia are not part of the body's secondary defense system. They are hair-like structures primarily involved in movement and transporting substances across cell surfaces, such as in the respiratory tract for debris and pathogen removal. However, cilia do not play a direct role in the immune response mechanisms characteristic of the body's secondary defense system. Macrophages, leukocytes, and T cells are immune cells that actively participate in the secondary defense system by targeting and eliminating pathogens.

3. Which connective tissue type attaches muscles to bones?

• A. Ligaments
• B. Tendons
• C. Cartilage
• D. Fascia

Correct answer: B

Rationale: Tendons are the correct answer. They are strong connective tissues that connect muscles to bones, allowing movement when muscles contract. Ligaments connect bones to other bones, providing joint stability. Cartilage is a firm, flexible connective tissue present in joints and the outer ear. Fascia is a connective tissue that surrounds muscles, blood vessels, and nerves, offering support and protection. Therefore, the correct tissue type that connects muscles to bones is tendons.

4. Which of the following is true about skeletal muscle?

• A. Skeletal muscle makes up 40% of the body's weight.
• B. Skeletal muscle attaches to bones by tendons.
• C. Muscle contraction is not involved in temperature regulation.
• D. Skeletal muscles contract only when in use.

Correct answer: B

Rationale: The correct statement is that skeletal muscle attaches to bones through tendons, enabling movement. Tendons connect muscles to bones and allow the force generated by muscle contraction to be transmitted to the bones, facilitating voluntary movements. Choice A is incorrect because skeletal muscle typically makes up around 40-50% of an individual's body weight, not a fixed 40%. Choice C is incorrect as muscle contraction plays a vital role in temperature regulation by generating heat. Choice D is incorrect as skeletal muscles may have constant low-level contractions even at rest, known as muscle tone.

5. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

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