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 vitamin is essential for the maintenance of healthy skin?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin K

Correct answer: A

Rationale: Vitamin A is the correct answer. It is crucial for maintaining healthy skin as it supports skin cell growth, repair, and overall skin health. Additionally, vitamin A plays a role in vision and immune function. Deficiency in vitamin A can lead to skin issues such as dryness and poor wound healing. Vitamin C is known for its role in collagen synthesis and antioxidant properties, while Vitamin D is important for bone health and immunity. Vitamin K is essential for blood clotting, but it is not primarily associated with skin health.

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

• A. To filter waste from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To absorb nutrients

Correct answer: A

Rationale: The correct answer is A: 'To filter waste from the blood.' The primary function of the kidneys in the urinary system is to filter waste products and excess substances from the blood, forming urine, which is then excreted from the body. Kidneys play a crucial role in maintaining the body's overall balance by filtering out waste, regulating fluid levels, and helping in the elimination of toxins. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and help in nutrient absorption indirectly, their primary function is the filtration of waste from the blood.

4. 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.

5. Which type of blood vessel carries blood back to the heart?

• A. Arteries
• B. Capillaries
• C. Veins
• D. Lymphatic vessels

Correct answer: C

Rationale: Veins are the blood vessels that carry deoxygenated blood back to the heart, except for the pulmonary veins which carry oxygenated blood from the lungs. Arteries carry oxygenated blood away from the heart. Capillaries facilitate the exchange of nutrients and gases between the blood and tissues but do not specifically carry blood back to the heart. Lymphatic vessels are part of the lymphatic system responsible for immune function and do not directly carry blood back to the heart. Therefore, the correct answer is veins.

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