Nursing Elites

1. 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.

2. A tissue examined under the microscope exhibits the following characteristics: cells found on the internal surface of the stomach, no extracellular matrix, cells tall and thin, no blood vessels in the tissue. What type of tissue is this?

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

Correct answer: A

Rationale: The correct answer is 'Epithelial.' Epithelial tissue is characterized by cells lining surfaces and cavities, such as the stomach. It does not contain blood vessels, and the cells are tall and thin. The absence of an extracellular matrix is typical of epithelial tissue, making it the most suitable choice in this scenario. Connective tissue, like cartilage and nervous tissue, have different characteristics that do not align with the description provided in the question.

3. What role does the liver play in metabolism?

• A. Storing glucose
• B. Secreting bile
• C. Detoxifying harmful substances
• D. Producing enzymes

Correct answer: D

Rationale: The correct answer is D: Producing enzymes. The liver is involved in metabolism by producing enzymes that are essential for regulating various metabolic processes in the body. While the liver does store glucose, secrete bile, and detoxify harmful substances, its primary role in metabolism is producing enzymes that facilitate biochemical reactions necessary for energy production, nutrient breakdown, and waste elimination. Choices A, B, and C are incorrect because although the liver performs these functions, they are not directly related to its primary role in metabolism, which is producing enzymes.

4. What is the function of the coronary artery?

• A. It carries oxygenated blood to the heart muscle.
• B. It carries deoxygenated blood to the lungs.
• C. It distributes blood to the body.
• D. It supplies blood to the heart muscle.

Correct answer: D

Rationale: The correct answer is D: 'It supplies blood to the heart muscle.' The coronary artery's main function is to supply oxygenated blood to the heart muscle, ensuring that the heart receives the necessary nutrients and oxygen it needs to function properly. Choices A, B, and C are incorrect because the coronary artery specifically delivers oxygenated blood to the heart muscle, not deoxygenated blood to the lungs or blood to the rest of the body.

5. What is the role of the spleen in the immune system?

• A. To filter blood and remove old red blood cells
• B. To produce white blood cells
• C. To store lymphocytes
• D. To produce antibodies

Correct answer: A

Rationale: The spleen plays a crucial role in the immune system by filtering blood, specifically removing old or damaged red blood cells. It also stores lymphocytes, which are white blood cells that help fight infections. While the spleen does not produce white blood cells or antibodies, its main functions lie in blood filtration and storage of immune cells. Therefore, the correct answer is A. Choice B is incorrect because the spleen does not produce white blood cells. Choice C is incorrect as the spleen stores lymphocytes but does not primarily function to do so. Choice D is incorrect because the spleen does not produce antibodies.

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