Nursing Elites

1. Which of the following best describes the function of the pericardium?

• A. Regulating blood flow through valves within the heart.
• B. Acting as a protective sac surrounding the heart.
• C. Generating the electrical impulses for heart contractions.
• D. Transmitting electrical signals between the atria and ventricles.

Correct answer: B

Rationale: The pericardium is a double-layered sac that surrounds and protects the heart. Its main functions include preventing overfilling of the heart, providing a physical barrier against infection and inflammation, and reducing friction between the heart and surrounding structures. Choices A, C, and D do not accurately describe the function of the pericardium. Option B is the correct answer as it aligns with the protective and supportive role of the pericardium, distinguishing it from the functions attributed to choices A, C, and D.

2. What is the primary function of the epiglottis in the respiratory system?

• A. Filtration of air
• B. Production of mucus
• C. Prevention of food entering the trachea
• D. Oxygen exchange in the alveoli

Correct answer: C

Rationale: The primary function of the epiglottis in the respiratory system is to prevent food from entering the trachea. During swallowing, the epiglottis covers the opening of the trachea, guiding food down the esophagus to the stomach and preventing it from entering the airway. This mechanism safeguards the respiratory system from foreign objects, ensuring proper air passage and avoiding potential choking hazards. Choices A, B, and D are incorrect: A) Filtration of air is mainly performed by the nasal hairs and the mucous membranes of the respiratory tract. B) Production of mucus is primarily carried out by the mucous glands in the respiratory system to trap particles and humidify the air. D) Oxygen exchange in the alveoli occurs in the lungs and is related to the process of respiration, not the function of the epiglottis.

3. Which structure helps regulate body temperature by constricting or dilating in response to temperature changes?

• A. Sebaceous glands
• B. Hair follicles
• C. Sweat glands
• D. Langerhans cells

Correct answer: C

Rationale: Sweat glands play a crucial role in regulating body temperature by producing sweat that evaporates from the skin surface. This evaporation cools the body when it is hot and helps to maintain a stable internal temperature. Sebaceous glands produce oil to lubricate the skin, hair follicles are responsible for hair growth, and Langerhans cells are a type of immune cell in the skin. Therefore, the correct answer is 'Sweat glands' as they are specifically designed to respond to temperature changes by constricting or dilating to help regulate body temperature.

4. What are the four types of cells in the gastric glands of the stomach mucosa?

• A. Endocrine, parietal, chief, mucous cells
• B. Parietal, mucous, goblet, endocrine cells
• C. Chief, parietal, goblet, lymphoid cells
• D. Goblet, lymphoid, parietal, chief cells

Correct answer: A

Rationale: The correct answer is A: Endocrine, parietal, chief, mucous cells. In the gastric glands of the stomach mucosa, the four types of cells are endocrine (producing hormones), parietal (secreting acid and intrinsic factor), chief (responsible for producing digestive enzymes), and mucous cells (providing protection to the stomach lining). These cells play essential roles in the digestive processes and maintaining the health of the stomach mucosa. Choices B, C, and D are incorrect because they do not accurately represent the types of cells found in the gastric glands of the stomach mucosa. Parietal cells secrete acid and intrinsic factor, chief cells produce digestive enzymes, and mucous cells provide protection, making these the correct choices in the context of gastric gland cellular composition.

5. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

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