Nursing Elites

1. 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.

2. Which cellular structure is responsible for protein synthesis?

• A. Nucleus
• B. Ribosome
• C. Endoplasmic reticulum
• D. Golgi apparatus

Correct answer: B

Rationale: The correct answer is B: Ribosome. Ribosomes, the cellular structures located in the cytoplasm or on the endoplasmic reticulum, are responsible for protein synthesis in the cell. They are the sites where mRNA is translated into proteins, making them essential for the synthesis of proteins in all living cells. The other choices, such as the nucleus (choice A), endoplasmic reticulum (choice C), and Golgi apparatus (choice D), are not directly involved in protein synthesis. The nucleus contains DNA and is responsible for housing the genetic material, the endoplasmic reticulum is involved in protein folding and transport, and the Golgi apparatus is responsible for modifying, sorting, and packaging proteins.

3. What is the primary role of the large intestine?

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

Correct answer: B

Rationale: The correct answer is B: To absorb water. The primary role of the large intestine is to absorb water from indigestible food matter. This absorption process helps in forming solid waste for excretion. Nutrient absorption primarily occurs in the small intestine, not the large intestine. Breaking down food and secreting digestive enzymes are functions primarily associated with the stomach and small intestine.

4. Which is a secondary defense for the body against pathogens?

• A. Tears
• B. Urine
• C. Inflammation
• D. Mucus

Correct answer: C

Rationale: Inflammation is a secondary defense mechanism for the body against pathogens. When tissues are injured or infected, inflammation occurs as a protective response involving increased blood flow, white blood cell migration, and tissue repair. This process helps contain and eliminate pathogens, preventing them from spreading further in the body. Tears (Choice A) are a primary defense containing lysozyme and other antimicrobial agents. Urine (Choice B) is typically considered a non-specific defense mechanism due to its flushing action in the urinary tract. Mucus (Choice D) acts as a physical barrier and traps pathogens, also considered a primary defense mechanism.

5. Which type of muscle tissue is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle tissue, represented by choice B, is the correct answer. Cardiac muscle tissue is unique to the heart and responsible for its involuntary contractions that pump blood throughout the body. Smooth muscle (choice A) is found in the walls of hollow organs, skeletal muscle (choice C) is attached to bones for movement, and striated muscle (choice D) is a general term that can refer to both cardiac and skeletal muscle but is not specific to the heart.

Similar Questions