Nursing Elites

1. What is the first step in pulmonary circulation?

• A. Blood moves toward the heart through the pulmonary veins.
• B. The pulmonary artery carries blood from the heart to the lungs.
• C. Carbon dioxide is exchanged for oxygen.
• D. Oxygenated blood moves through the aorta.

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

2. The lateral side of the right knee would be ___________.

• A. the kneecap
• B. closest to the left knee
• C. farthest from the left knee
• D. on the underside of the knee

Correct answer: C

Rationale: The lateral side of the right knee is the side that is farthest from the left knee when looking at the knee joint from the front. The term 'lateral' refers to the side of the body that is farther away from the midline or center of the body. In this case, the lateral side of the right knee is on the outer side of the knee joint, away from the other knee. Choice A is incorrect as the kneecap is located at the front of the knee. Choice B is incorrect as it describes the medial side, not the lateral side. Choice D is incorrect as it refers to the underside, which is not related to the lateral aspect of the knee.

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

• A. Insulin
• B. Thyroxine
• C. Glucagon
• D. Cortisol

Correct answer: B

Rationale: Thyroxine, produced by the thyroid gland, is the hormone responsible for regulating metabolism. It plays a fundamental role in controlling the body's metabolic rate, affecting processes such as energy production and utilization. Thyroxine also influences growth and development in the body. Choice A, Insulin, is involved in regulating blood sugar levels and promoting the storage of glucose. While insulin has an impact on metabolism, it is not primarily responsible for regulating overall metabolic rate. Choice C, Glucagon, acts in opposition to insulin, stimulating the release of glucose from the liver to increase blood sugar levels. Glucagon primarily targets glucose regulation rather than overall metabolism. Choice D, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, regulation of blood pressure, immune function, and anti-inflammatory actions. While cortisol can have some effects on metabolism during stress responses, it is not the primary hormone responsible for regulating overall metabolic rate.

4. Which type of muscle tissue is under voluntary control?

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

Correct answer: C

Rationale: Skeletal muscle is under voluntary control, allowing conscious regulation for activities like walking and lifting. This type of muscle is attached to bones and is responsible for movement in the body. Smooth muscle (Choice A) is involuntary and found in organs like the stomach and intestines. Cardiac muscle (Choice B and D) is also involuntary and specific to the heart, contracting rhythmically to pump blood, but it is not under conscious control.

5. How does the circulatory system work with the digestive system?

• A. The circulatory system removes undigested solids from the body.
• B. The circulatory system filters and collects digested materials.
• C. The circulatory system moves absorbed nutrients through the body.
• D. The circulatory system releases enzymes that control digestion.

Correct answer: C

Rationale: The circulatory system works with the digestive system by transporting absorbed nutrients through the body. After digestion occurs in the digestive system, nutrients are absorbed into the bloodstream. The circulatory system then carries these nutrients to cells throughout the body where they are used for energy, growth, and repair. This process ensures that the necessary nutrients are delivered to where they are needed in the body. Choices A, B, and D are incorrect because the circulatory system is not responsible for removing undigested solids, filtering and collecting digested materials, or releasing enzymes that control digestion. These functions are primarily carried out by the digestive system.

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