Nursing Elites

1. When the pulmonary valve and aortic valves are open, where can blood flow?

• A. Between the two ventricles of the heart
• B. From atrium to ventricle within the heart
• C. Between the heart and the rest of the body
• D. Between the atria in the heart

Correct answer: C

Rationale: When the pulmonary valve and aortic valves are open, blood can flow between the heart and the rest of the body. The pulmonary valve allows blood to flow from the right ventricle to the lungs for oxygenation, while the aortic valve permits blood to flow from the left ventricle to the rest of the body for distribution of oxygen and nutrients. This circulation pathway ensures that oxygen-rich blood is pumped to the body tissues. Choices A, B, and D are incorrect because when the pulmonary valve and aortic valves are open, blood is not flowing between the ventricles, from atrium to ventricle, or between the atria; instead, it is being pumped out of the heart to the lungs and the rest of the body.

2. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

3. Which type of joint is found in the neck and allows for rotational movement?

• A. Hinge joint
• B. Pivot joint
• C. Ball and socket joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Pivot joint. A pivot joint, like the one found in the neck, allows for rotational movement, enabling the head to turn from side to side. Hinge joints (Choice A) allow movement in one plane like a door hinge and are not found in the neck. Ball and socket joints (Choice C) allow for a wide range of motion in multiple directions and are typically found in the hip and shoulder. Saddle joints (Choice D) allow for movement back and forth and side to side, like the thumb joint, but are not found in the neck.

4. What is the primary function of platelets?

• A. To fight infections
• B. To clot blood
• C. To carry oxygen
• D. To transport nutrients

Correct answer: B

Rationale: The primary function of platelets, or thrombocytes, is to clot blood. Platelets play a crucial role in hemostasis by forming clots to prevent excessive bleeding when injuries occur. They are not directly involved in fighting infections, carrying oxygen, or transporting nutrients. Therefore, the correct answer is B.

5. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

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