Nursing Elites

1. The orthopedic surgeon informs you that you have broken the middle region of the humerus. What area is he describing?

• A. Epiphysis
• B. Articular cartilage
• C. Perichondrium
• D. Diaphysis

Correct answer: D

Rationale: The diaphysis is the correct answer in this scenario. It refers to the middle or shaft region of a long bone like the humerus. The epiphysis is the end of a long bone, while articular cartilage is the smooth tissue covering the ends of bones at a joint. The perichondrium is the dense irregular connective tissue that surrounds cartilage.

2. Which gland is responsible for regulating metabolism and calcium levels?

• A. Pituitary gland
• B. Adrenal gland
• C. Thyroid gland
• D. Pineal gland

Correct answer: C

Rationale: The correct answer is the thyroid gland (Choice C). The thyroid gland plays a crucial role in regulating metabolism by producing hormones like thyroxine, which control the body's metabolic rate. It also helps in controlling calcium levels in the blood through the release of calcitonin. The pituitary gland (Choice A) is known as the 'master gland' as it controls other glands but is not primarily responsible for regulating metabolism and calcium levels. The adrenal gland (Choice B) produces hormones like cortisol and adrenaline, which are involved in the stress response and metabolism, but they do not specifically regulate calcium levels. The pineal gland (Choice D) mainly produces melatonin, a hormone that helps in regulating sleep-wake cycles and has no direct role in metabolism or calcium level regulation.

3. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

4. What is the primary function of the adrenal glands?

• A. To produce insulin
• B. To regulate metabolism and stress response
• C. To fight infections
• D. To regulate blood pressure

Correct answer: B

Rationale: The primary function of the adrenal glands is to regulate metabolism and the body's stress response. The adrenal glands produce hormones like cortisol and adrenaline that play a vital role in managing metabolism, immune response, and stress levels. Choice A is incorrect because insulin is produced by the pancreas, not the adrenal glands. Choice C is incorrect because fighting infections is primarily the role of the immune system. Choice D is incorrect as the regulation of blood pressure involves organs like the heart, kidneys, and blood vessels, not the adrenal glands.

5. The lateral side of the right knee would be ___________.

• A. the kneecap
• B. closest to the left knee
• C. farthest from the left knee
• D. on the underside of the knee

Correct answer: C

Rationale: The lateral side of the right knee is the side that is farthest from the left knee when looking at the knee joint from the front. The term 'lateral' refers to the side of the body that is farther away from the midline or center of the body. In this case, the lateral side of the right knee is on the outer side of the knee joint, away from the other knee. Choice A is incorrect as the kneecap is located at the front of the knee. Choice B is incorrect as it describes the medial side, not the lateral side. Choice D is incorrect as it refers to the underside, which is not related to the lateral aspect of the knee.

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