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 muscle is involved in the flexion of the forearm?

• A. Biceps brachii
• B. Triceps brachii
• C. Deltoid
• D. Brachialis

Correct answer: A

Rationale: The biceps brachii muscle is the primary muscle responsible for flexing the forearm at the elbow joint. When the biceps brachii contracts, it causes the forearm to move towards the upper arm, resulting in flexion at the elbow. In contrast, the triceps brachii is responsible for extending the forearm, the deltoid muscle is primarily involved in shoulder movements, and the brachialis muscle also aids in flexion of the forearm but to a lesser extent compared to the biceps brachii.

3. What is the role of the mitochondria in the cell?

• A. Protein synthesis
• B. Energy production
• C. Breaking down waste
• D. Cell division

Correct answer: B

Rationale: The correct answer is B: Energy production. Mitochondria are known as the powerhouses of the cell because they generate adenosine triphosphate (ATP) through the process of cellular respiration. ATP is a molecule that stores and releases energy, providing the cell with the necessary energy for various activities and functions. Choices A, C, and D are incorrect. Protein synthesis primarily occurs in the ribosomes, breaking down waste is mainly carried out by lysosomes, and cell division is orchestrated by the nucleus and other organelles like the centrioles.

4. 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.

5. What is the function of hemoglobin in red blood cells?

• A. To fight infections
• B. To transport oxygen
• C. To carry carbon dioxide
• D. To store oxygen

Correct answer: B

Rationale: The correct answer is B: 'To transport oxygen.' Hemoglobin in red blood cells plays a crucial role in transporting oxygen. It binds to oxygen in the lungs and carries it to the body's tissues and organs for cellular respiration. Choices A, C, and D are incorrect because hemoglobin's primary function is to bind and transport oxygen, not to fight infections, carry carbon dioxide, or store oxygen.

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