Nursing Elites

1. Which type of muscle tissue is under voluntary control?

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

Correct answer: C

Rationale: Skeletal muscle is under voluntary control, allowing conscious regulation for activities like walking and lifting. This type of muscle is attached to bones and is responsible for movement in the body. Smooth muscle (Choice A) is involuntary and found in organs like the stomach and intestines. Cardiac muscle (Choice B and D) is also involuntary and specific to the heart, contracting rhythmically to pump blood, but it is not under conscious control.

2. Which bone does not articulate with any other bone?

• A. Femur
• B. Hyoid
• C. Radius
• D. Tibia

Correct answer: B

Rationale: The correct answer is the Hyoid bone. The hyoid bone is distinctive as it does not directly articulate with any other bone in the body. Instead, it is held in place by muscles and ligaments, playing a crucial role in supporting the tongue and providing attachment points for various muscles involved in swallowing and speech. The other choices, Femur, Radius, and Tibia, all articulate with other bones in the body. The femur articulates with the hip bone, the radius articulates with the ulna and other bones in the wrist, and the tibia articulates with the femur and fibula.

3. What does the parathyroid hormone regulate?

• A. Magnesium
• B. Calcium
• C. Calcitonin
• D. Glucocorticoids

Correct answer: B

Rationale: The parathyroid hormone primarily regulates calcium levels in the blood. It acts to increase calcium levels by stimulating the release of calcium from bones, enhancing calcium reabsorption in the kidneys, and promoting the conversion of vitamin D to its active form, which aids in calcium absorption from the intestines. Therefore, the correct answer is B. Choices A, C, and D are incorrect because the parathyroid hormone does not play a significant role in the regulation of magnesium (Choice A), calcitonin (Choice C), or glucocorticoids (Choice D).

4. Which of the following processes represents a different level of defense compared to the others?

• A. A low pH in the stomach
• B. Cilia present in the trachea
• C. Body cells recognizing a pathogen
• D. Mucus present in the nasal cavity

Correct answer: C

Rationale: Among the listed processes, low pH in the stomach, cilia in the trachea, and mucus in the nasal cavity serve as physical barriers that form the first line of defense against pathogens. These barriers work to block pathogens from entering the body. On the other hand, body cells recognizing a pathogen involves the immune response, which operates at a different level of defense. This process is part of the adaptive immune response, where the body's immune cells identify, target, and eliminate specific pathogens to provide a specialized defense after the pathogens have breached the physical barriers. Therefore, body cells recognizing a pathogen represent a different level of defense compared to the other listed processes.

5. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

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