Nursing Elites

1. Which type of muscle is found in the walls of hollow organs, such as the stomach and intestines, and is responsible for involuntary contractions to propel substances through the organs?

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

Correct answer: B

Rationale: Smooth muscle is the correct answer. It is found in the walls of hollow organs like the stomach and intestines, where it performs involuntary contractions to move substances through these organs. Cardiac muscle, found in the heart, is responsible for pumping blood. Skeletal muscle is attached to bones and involved in voluntary movements. Striated muscle is a term often used interchangeably with skeletal muscle, which is responsible for voluntary movements but not typically found in the walls of hollow organs like the stomach and intestines.

2. Which feedback loops are less common and sometimes harmful because they enhance stimuli rather than inhibit them?

• A. Negative feedback loop
• B. Positive feedback loop
• C. Inhibitory feedback loop
• D. Stimulating feedback loop

Correct answer: B

Rationale: Correct. Positive feedback loops enhance or amplify changes, which can sometimes be harmful as they drive processes further from equilibrium. In contrast, negative feedback loops work to counteract deviations from a set point, promoting stability. Choice A, 'Negative feedback loop,' is incorrect because negative feedback loops inhibit or reduce changes, promoting stability. Choice C, 'Inhibitory feedback loop,' is incorrect as it is synonymous with negative feedback loops. Choice D, 'Stimulating feedback loop,' is incorrect as it inaccurately describes the nature of positive feedback loops.

3. Which structure in the digestive system absorbs the most nutrients?

• A. Stomach
• B. Small intestine
• C. Large intestine
• D. Esophagus

Correct answer: B

Rationale: The small intestine is the primary site where the absorption of nutrients from digested food occurs. Its large surface area, specialized cells, and villi play key roles in maximizing nutrient absorption, making it the structure in the digestive system that absorbs the most nutrients. The stomach's main function is to break down food with acid and enzymes, not absorb nutrients. The large intestine primarily absorbs water and electrolytes, not nutrients. The esophagus is a muscular tube that connects the throat with the stomach and does not play a role in nutrient absorption.

4. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

5. 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.

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