Nursing Elites

1. What condition might result from a lack of vitamin C?

• A. Kwashiorkor
• B. Pellagra
• C. Rickets
• D. Scurvy

Correct answer: D

Rationale: Scurvy is the correct answer. Scurvy is a condition caused by a deficiency of vitamin C in the diet. Vitamin C is essential for collagen synthesis, and its deficiency leads to symptoms such as weakness, swollen and bleeding gums, joint pain, fatigue, and easy bruising. If left untreated, scurvy can lead to more severe complications. Choices A, B, and C are incorrect. Kwashiorkor is a severe form of malnutrition due to insufficient protein intake, pellagra is caused by a deficiency of niacin (vitamin B3), and rickets results from a deficiency of vitamin D, calcium, or phosphate.

2. What type of joint is found at the elbow?

• A. Ball and socket
• B. Hinge
• C. Pivot
• D. Saddle

Correct answer: B

Rationale: The correct answer is B: Hinge. A hinge joint, such as the one found at the elbow, allows for movement primarily in one plane, enabling flexion and extension similar to the movement of a door hinge. This joint structure permits bending and straightening of the arm, controlling the range of motion in a specific direction. Choices A, C, and D are incorrect. A ball and socket joint allows for multi-axial movement like the hip joint, a pivot joint allows for rotation around an axis like the joint between the first and second cervical vertebrae, and a saddle joint allows for movement in two planes at right angles to each other like the joint at the base of the thumb.

3. When the pulmonary valve and aortic valves are open, where can blood flow?

• A. Between the two ventricles of the heart
• B. From atrium to ventricle within the heart
• C. Between the heart and the rest of the body
• D. Between the atria in the heart

Correct answer: C

Rationale: When the pulmonary valve and aortic valves are open, blood can flow between the heart and the rest of the body. The pulmonary valve allows blood to flow from the right ventricle to the lungs for oxygenation, while the aortic valve permits blood to flow from the left ventricle to the rest of the body for distribution of oxygen and nutrients. This circulation pathway ensures that oxygen-rich blood is pumped to the body tissues. Choices A, B, and D are incorrect because when the pulmonary valve and aortic valves are open, blood is not flowing between the ventricles, from atrium to ventricle, or between the atria; instead, it is being pumped out of the heart to the lungs and the rest of the body.

4. Which organelle is responsible for generating energy within a cell?

• A. Nucleus
• B. Ribosome
• C. Mitochondria
• D. Golgi apparatus

Correct answer: C

Rationale: Mitochondria are commonly referred to as the powerhouses of the cell as they are primarily responsible for generating energy through cellular respiration. This process involves converting nutrients into adenosine triphosphate (ATP), which is the main energy currency of the cell. The nucleus is responsible for storing the cell's genetic material, the ribosome is involved in protein synthesis, and the Golgi apparatus is responsible for packaging and distributing molecules produced by the cell; therefore, they are not directly involved in energy generation.

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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