Nursing Elites

1. The swirling snow drifted down all afternoon. Which of the following parts of speech is 'swirling' as used in the sentence above?

• A. Interjection
• B. Article
• C. Adjective
• D. Adverb

Correct answer: C

Rationale: In the sentence 'The swirling snow drifted down all afternoon,' 'swirling' is functioning as an adjective. Adjectives modify or describe nouns, and in this case, 'swirling' describes the noun 'snow.' The word 'swirling' is giving more information about the nature or quality of the snow, indicating that it is moving in a circular motion. Choices A, B, and D are incorrect. An interjection is a word or phrase used to express strong emotions or sentiments, which 'swirling' does not do in this context. An article is a determiner that introduces a noun, and 'swirling' is not serving this function. An adverb typically modifies a verb, adjective, or another adverb, but in this sentence, 'swirling' is not modifying a verb, making it an incorrect choice.

2. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. The muscular diaphragm plays a vital role in respiration. When it contracts, it:

• A. Increases lung volume for inhalation
• B. Decreases lung volume for exhalation
• C. Filters dust and particles from inhaled air
• D. Produces mucus to lubricate the airways

Correct answer: A

Rationale: The muscular diaphragm plays a crucial role in respiration by contracting and flattening during inhalation. This action increases the volume of the thoracic cavity, which leads to a decrease in pressure within the lungs, allowing air to rush in and fill the expanded space. Choice B is incorrect because the diaphragm contracting increases the lung volume for inhalation, not decreases it for exhalation. Choice C is incorrect as the role of filtering dust and particles is primarily performed by the respiratory system's other structures like the nasal passages and the mucous membranes. Choice D is incorrect as mucus production is mainly carried out by specialized cells in the respiratory system and not by the diaphragm.

4. Which of the following is an example of a ball-and-socket joint?

• A. Knee
• B. Hip
• C. Elbow
• D. Wrist

Correct answer: B

Rationale: The correct answer is B, Hip. The hip joint is a ball-and-socket joint, characterized by the spherical head of one bone (femur) fitting into the cup-like socket of another bone (pelvis). This structure allows for a wide range of motion in multiple directions, such as flexion, extension, abduction, adduction, and rotation. Choices A, C, and D are incorrect as the knee, elbow, and wrist joints are not ball-and-socket joints. The knee is a hinge joint, allowing flexion and extension movements. The elbow is a hinge joint that allows flexion and extension, while the wrist is a condyloid joint permitting flexion, extension, abduction, adduction, and circumduction movements.

5. Which of the following words functions as a verb in the sentence?

• A. fought
• B. control
• C. trade
• D. those

Correct answer: A

Rationale: In the sentence, 'fought' is the only word that functions as a verb. It shows action, as it is the past tense of the verb 'fight.' The other words in the sentence do not serve as verbs in this context. 'Control' and 'trade' can also be verbs, but in this specific sentence, they are not used as verbs but as nouns. 'Those' is a pronoun and does not function as a verb.

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