Nursing Elites

1. Which of the following statements is correct based on anatomical terms?

• A. The shoulder joint is proximal to the neck.
• B. The elbow joint is superior to the shoulder.
• C. The thoracic vertebrae are superior to the cervical vertebrae.
• D. The thumb is on the lateral aspect of the hand.

Correct answer: D

Rationale: Option D is the correct answer based on anatomical terms. The thumb is indeed located on the lateral aspect of the hand, following anatomical positioning. The terms 'proximal,' 'superior,' and 'inferior' are used in relation to the center of the body or a specific point of reference, while 'lateral' and 'medial' describe positions further away or closer to the midline of the body. Therefore, the thumb being on the lateral side of the hand is an accurate anatomical description. Choices A, B, and C are incorrect because they do not align with anatomical terminology. In anatomical terms, 'proximal' refers to a position closer to the center of the body, 'superior' indicates a position above or higher than another part, and 'inferior' signifies a position below or lower than another part. The shoulder joint is distal to the neck, the elbow is inferior to the shoulder, and the cervical vertebrae are superior to the thoracic vertebrae.

2. During exercise, heart rate increases to deliver more oxygen to the body's tissues. What other cardiovascular response also increases?

• A. Blood pressure decreases
• B. Blood vessel diameter narrows
• C. Blood flow to muscles increases
• D. Blood viscosity thickens

Correct answer: C

Rationale: During exercise, the cardiovascular response includes an increase in blood flow to the muscles to deliver more oxygen and nutrients needed for energy production. This helps to support the increased demand for oxygen and nutrients by the working muscles. Blood pressure typically increases during exercise to help facilitate this increased blood flow to the muscles. Additionally, blood vessel diameter may widen (vasodilation) to allow for more blood flow, rather than narrow. Blood viscosity does not typically thicken during exercise.

3. Passive transport does not require energy input from the cell. Which of the following is an example of passive transport?

• A. Active transport of ions across a membrane
• B. Diffusion of small molecules across a concentration gradient
• C. Movement of large molecules using vesicles
• D. Endocytosis of particles into the cell

Correct answer: B

Rationale: Passive transport refers to the movement of molecules across a cell membrane without the input of energy. Diffusion of small molecules across a concentration gradient is a classic example of passive transport, as it occurs spontaneously from an area of high concentration to an area of low concentration. Active transport (option A) requires energy input in the form of ATP to move substances against their concentration gradient. Movement of large molecules using vesicles (option C) involves processes like endocytosis and exocytosis that require energy in the form of ATP. Endocytosis of particles into the cell (option D) is an active process that requires energy expenditure by the cell to engulf and internalize extracellular substances.

4. What is the primary composition of the stratum corneum, the outermost layer of the epidermis?

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The stratum corneum, the outermost layer of the epidermis, is primarily composed of keratinized dead cells. These cells are flattened, fully keratinized, and lack nuclei, serving a protective function for the skin. Melanocytes are responsible for producing melanin, providing skin pigmentation. Langerhans cells are involved in the immune response within the skin. Merkel cells are associated with sensory functions in the skin, particularly in touch sensations. Therefore, the correct answer is A as it accurately reflects the main constituent of the stratum corneum, which acts as a barrier against external factors.

5. What happens to the gravitational potential energy of an object as it falls freely?

• A. It decreases
• B. It increases
• C. It remains constant
• D. It becomes zero

Correct answer: A

Rationale: The correct answer is A: 'It decreases.' When an object falls freely, its height decreases, resulting in a decrease in gravitational potential energy. The potential energy is converted into kinetic energy as the object accelerates due to gravity. This conversion process continues until the object reaches the ground or its lowest point, where the gravitational potential energy is minimal or zero. Choice B is incorrect because gravitational potential energy decreases, not increases, during free fall. Choice C is incorrect as gravitational potential energy changes due to the change in height. Choice D is incorrect as the gravitational potential energy does not instantly become zero but decreases gradually as the object falls.

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