Nursing Elites

1. What type of muscle is found in the walls of the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle is the specialized muscle found in the walls of the heart. It contracts involuntarily to pump blood throughout the body, ensuring circulation. Smooth muscle is typically found in organs like the intestines and blood vessels, aiding in their functions. Skeletal muscle is attached to bones and plays a vital role in movement and posture. Voluntary muscle is a general term for skeletal muscles that are under conscious control, unlike cardiac muscle which contracts involuntarily to maintain the heart's continuous pumping action.

2. Which organ in the body is responsible for maintaining electrolyte balance and filtering waste from the blood?

• A. Liver
• B. Kidneys
• C. Heart
• D. Lungs

Correct answer: B

Rationale: The correct answer is B: Kidneys. The kidneys are responsible for filtering waste from the blood and maintaining electrolyte balance. They help regulate the body's fluid levels and produce urine as a means of waste elimination. The liver primarily plays a role in detoxification and metabolism, not in maintaining electrolyte balance or filtering waste from the blood. The heart is responsible for pumping blood, not for electrolyte balance or waste filtration. The lungs are primarily involved in gas exchange, not in maintaining electrolyte balance or filtering waste from the blood.

3. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

4. What is the outermost layer of the dermis, rich in collagen and elastin fibers that provide elasticity to the skin?

• A. Papillary layer
• B. Reticular layer
• C. Stratum basale
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is the reticular layer. This layer is the outermost layer of the dermis that contains abundant collagen and elastin fibers, providing elasticity to the skin. The papillary layer is located beneath the epidermis and is responsible for supplying nutrients to the epidermis, not the outermost layer. The stratum basale is the deepest layer of the epidermis where new skin cells are produced, not part of the dermis. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells, not a layer of the dermis.

5. Which lifestyle practice can weaken the immune system?

• A. Getting enough sleep
• B. Eating a balanced diet rich in fruits and vegetables
• C. Managing stress levels
• D. Frequent smoking

Correct answer: D

Rationale: Frequent smoking can weaken the immune system by damaging immune cells and impairing their function. Smoking increases the risk of respiratory infections and other illnesses, negatively impacting immune health. Therefore, frequent smoking is a lifestyle practice that can weaken the immune system. Choices A, B, and C are all beneficial practices that support a healthy immune system. Getting enough sleep, eating a balanced diet rich in fruits and vegetables, and managing stress levels are important for maintaining optimal immune function and overall well-being.

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