Nursing Elites

1. Which muscle is responsible for the extension of the elbow?

• A. Biceps brachii
• B. Triceps brachii
• C. Deltoid
• D. Pectoralis major

Correct answer: B

Rationale: The correct answer is B: Triceps brachii. The triceps brachii muscle is responsible for extending the elbow joint. It is located on the back of the upper arm and acts in opposition to the biceps brachii, which is responsible for elbow flexion. The deltoid muscle is primarily responsible for shoulder abduction, not elbow extension. The pectoralis major muscle is involved in movements of the shoulder joint, not the elbow.

2. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

3. Which type of muscle is under voluntary control?

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

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing individuals to consciously regulate its contractions for movement. Examples of skeletal muscle control include actions like walking, running, and lifting weights. Smooth muscle (choice A) and cardiac muscle (choice B) are both involuntary muscles, meaning they are not under conscious control. While skeletal muscle is striated (choice D), striated muscle is a broader category that includes both voluntary (skeletal) and involuntary (cardiac) muscles.

4. Which neurotransmitter controls sleep, mood, and appetite?

• A. Serotonin
• B. Oxytocin
• C. Cortisol
• D. Aldosterone

Correct answer: A

Rationale: Serotonin is the correct answer. It is a neurotransmitter that plays a crucial role in regulating mood, sleep, and appetite. Serotonin functions to stabilize and control these physiological processes in the brain and body. Imbalances in serotonin levels are commonly linked to conditions like depression, anxiety, and eating disorders. Oxytocin (Choice B) is more associated with social bonding and childbirth. Cortisol (Choice C) is a stress hormone, and while it can influence mood and appetite in response to stress, it is not primarily responsible for regulating these functions. Aldosterone (Choice D) is a hormone that regulates electrolyte balance and blood pressure, not mood, sleep, and appetite.

5. What is the function of the liver in the digestive system?

• A. To store glucose
• B. To produce bile
• C. To detoxify harmful substances
• D. To absorb nutrients

Correct answer: B

Rationale: The correct answer is B: To produce bile. The liver's primary function in the digestive system is to produce bile. Bile is essential for the digestion and absorption of fats in the small intestine. It helps emulsify fats, making it easier for enzymes to break them down into smaller molecules for absorption. Choices A, C, and D are incorrect as storing glucose is primarily done in the liver for energy maintenance, detoxifying harmful substances is a function of the liver related to metabolism but not specifically in the digestive system, and absorbing nutrients is mainly done in the small intestine rather than the liver.

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