Nursing Elites

1. What is the primary function of the kidneys in the urinary system?

• A. Regulating blood pressure
• B. Filtering blood to remove waste
• C. Producing red blood cells
• D. Regulating electrolyte balance

Correct answer: B

Rationale: The primary function of the kidneys in the urinary system is to filter blood to remove waste products and excess fluids, which are then excreted as urine. Kidneys act as a filtration system, removing waste like urea, excess salts, and toxins. While the kidneys do play a role in regulating blood pressure by secreting renin and maintaining electrolyte balance by adjusting the levels of sodium, potassium, and other ions in the blood, their main and essential function is filtration and waste removal, making choice B the correct answer.

2. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

3. What is the function of the stomach in digestion?

• A. To absorb nutrients
• B. To break down food
• C. To secrete digestive enzymes
• D. To store glucose

Correct answer: B

Rationale: The correct answer is B: 'To break down food.' The stomach's primary function in digestion is to break down food mechanically and chemically. It accomplishes this by mixing food with gastric acid and digestive enzymes, resulting in the formation of chyme, a semi-liquid mixture that moves on to further digestion in the small intestine. Choice A is incorrect because the absorption of nutrients occurs mainly in the small intestine, not in the stomach. Choice C is incorrect because while the stomach does secrete digestive enzymes like pepsin, its primary role is not just limited to enzyme secretion. Choice D is incorrect because the storage of glucose primarily occurs in the liver and muscles, not in the stomach.

4. What type of tissue forms the outer layer of the skin?

• A. Connective tissue
• B. Epithelial tissue
• C. Muscle tissue
• D. Nervous tissue

Correct answer: B

Rationale: Epithelial tissue is the correct answer. It forms the outer layer of the skin, serving as a protective barrier against pathogens and environmental damage. This tissue type is essential for maintaining skin integrity and plays a crucial role in skin function. Connective tissue (Choice A), although important for providing support and structure, does not form the outer layer of the skin. Muscle tissue (Choice C) is responsible for movement and is not the primary tissue in the skin. Nervous tissue (Choice D) is involved in transmitting signals but is not the main component of the skin's outer layer.

5. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

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