Nursing Elites

1. The lymphatic system is a network of vessels and organs that plays a vital role in:

• A. Transporting oxygen and nutrients to cells
• B. Carrying waste products away from tissues
• C. Regulating body temperature
• D. Producing red blood cells

Correct answer: B

Rationale: The correct answer is B: Carrying waste products away from tissues. The lymphatic system functions to maintain fluid balance in the body by removing excess fluid, filtering out harmful substances, and transporting waste products away from tissues. It does not primarily focus on transporting oxygen and nutrients to cells, regulating body temperature, or producing red blood cells. Choices A, C, and D are incorrect as the primary function of the lymphatic system is related to waste removal and maintaining fluid balance in the body, rather than roles such as nutrient transport, temperature regulation, or red blood cell production.

2. What is the function of a cell wall?

• A. To provide structural support for the cell
• B. To transport substances in and out of the cell
• C. To synthesize proteins and lipids
• D. To store genetic material

Correct answer: A

Rationale: The cell wall is a rigid layer that surrounds the cell membrane in plant cells, fungi, and some bacteria. Its main function is to provide structural support and protection for the cell, helping maintain the cell's shape and preventing it from bursting or collapsing. The cell wall also allows for the passage of water, ions, and other molecules in and out of the cell. Options B, C, and D are incorrect because those functions are typically carried out by other cellular structures. Option B is performed by the cell membrane, option C by ribosomes, and option D by the nucleus, which stores genetic material.

3. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

4. Which of the following are the abdominal quadrants?

• A. RUQ, RLQ, LLQ, LUQ
• B. RUQ, LUQ, RLQ, LLQ
• C. LUQ, RUQ, LLQ, RLQ
• D. LLQ, LUQ, RUQ, RLQ

Correct answer: B

Rationale: The correct answer is B: RUQ, LUQ, RLQ, LLQ. The four abdominal quadrants are named as follows: Right Upper Quadrant (RUQ), Left Upper Quadrant (LUQ), Right Lower Quadrant (RLQ), and Left Lower Quadrant (LLQ). These quadrants are used in healthcare to describe specific areas of the abdomen during assessments and discussions related to abdominal anatomy and pathology. Choices A, C, and D are incorrect because they do not follow the standard order of the abdominal quadrants.

5. What is the name for the sac-shaped structures in which carbon dioxide and oxygen exchange takes place?

• A. Kidneys
• B. Medulla oblongata
• C. Alveoli
• D. Bronchioles

Correct answer: C

Rationale: The alveoli are the tiny sac-shaped structures in the lungs where gas exchange occurs. Oxygen from the air we breathe diffuses into the bloodstream through the alveoli, while carbon dioxide, a waste product produced by cells, is removed from the blood and exhaled out of the body through the alveoli. Choices A, B, and D are incorrect. Kidneys are organs responsible for filtering waste from the blood, the medulla oblongata is a part of the brain responsible for autonomic functions, and bronchioles are smaller airway passages in the lungs that branch off from the bronchi.

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