Nursing Elites

1. Which part of the brain is responsible for controlling voluntary muscle movements?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Thalamus

Correct answer: A

Rationale: The correct answer is the Cerebrum. The cerebrum, the largest part of the brain, controls voluntary muscle movements, along with cognitive functions like thinking, perception, and decision-making. It is crucial for motor coordination and the regulation of voluntary movements. The Cerebellum (Choice B) is responsible for coordinating movement, balance, and posture, but not specifically for voluntary muscle movements. The Medulla oblongata (Choice C) is involved in controlling autonomic functions like breathing and heart rate, not voluntary muscle movements. The Thalamus (Choice D) acts as a relay station for sensory information but is not primarily responsible for controlling voluntary muscle movements.

2. What are the two layers of the spinal cord?

• A. White matter and grey matter
• B. Epithelial and connective tissue
• C. Adipose and muscular tissue
• D. Dermis and hypodermis

Correct answer: A

Rationale: The correct answer is A: White matter and grey matter. The spinal cord is composed of an exterior layer of white matter, which surrounds an interior core of grey matter. White matter consists mainly of myelinated axons, while grey matter contains cell bodies, dendrites, and unmyelinated axons. White matter is responsible for transmitting nerve signals up and down the spinal cord, while grey matter processes sensory information and initiates motor commands. The other choices (B, C, D) are incorrect as they do not represent the anatomical layers of the spinal cord. Epithelial and connective tissue, adipose and muscular tissue, dermis, and hypodermis are not the layers of the spinal cord but are found in other parts of the body such as skin and organs.

3. What makes bone resistant to shattering?

• A. The calcium salts deposited in the bone
• B. The collagen fibers
• C. The bone marrow and network of blood vessels
• D. The intricate balance of minerals and collagen fibers

Correct answer: D

Rationale: Bone is resistant to shattering due to the intricate balance of minerals and collagen fibers. The minerals provide strength to the bone, while the collagen fibers offer flexibility. This combination ensures that bone is a robust and resilient tissue. Choice A (The calcium salts deposited in the bone) is incorrect as calcium salts alone do not provide the necessary flexibility for bone to withstand shattering. Choice B (The collagen fibers) is partially correct as collagen fibers contribute to the flexibility of bone but alone are not sufficient for resistance to shattering. Choice C (The bone marrow and network of blood vessels) is incorrect as they do not directly contribute to the physical resistance of bone to shattering.

4. Which vitamin plays a vital role in immune function?

• A. Vitamin A
• B. Vitamin B12
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is the correct answer. It plays a vital role in immune function by regulating the immune system and enhancing the pathogen-fighting effects of monocytes and macrophages. Deficiency in Vitamin D has been linked to increased susceptibility to infections and autoimmune diseases, highlighting its importance in maintaining a healthy immune response. Vitamin A (Choice A) is essential for vision and skin health but is not primarily known for its role in immune function. Vitamin B12 (Choice B) is important for red blood cell formation and neurological function, not specifically immune function. Vitamin E (Choice D) acts as an antioxidant and is beneficial for skin health and cell function, but it is not primarily associated with immune system support.

5. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

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