Nursing Elites

1. Which of the following are functions of the urinary system?

• A. I, II, and III
• B. II and III
• C. II, III, and IV
• D. All of the above

Correct answer: D

Rationale: The corrected answer is D, 'All of the above.' The urinary system performs multiple essential functions to maintain the body's internal environment. Synthesizing calcitriol and secreting erythropoietin are crucial roles of the kidneys. Regulating the concentrations of sodium, potassium, chloride, calcium, and other ions helps in maintaining the electrolyte balance. Reabsorbing or secreting hydrogen ions and bicarbonate is vital for managing the body's acid-base balance. Furthermore, the urinary system is involved in detecting reductions in blood volume and pressure, aiding in the maintenance of blood pressure levels and fluid balance in the body.

2. Which part of the digestive system is responsible for absorbing nutrients?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: C

Rationale: The small intestine is the correct answer because it is the primary site for nutrient absorption in the digestive system. It contains specialized structures such as villi and microvilli that maximize the absorption of nutrients from digested food. The esophagus is responsible for transporting food from the mouth to the stomach; the stomach primarily aids in digestion by secreting enzymes and acids; and the large intestine mainly absorbs water and electrolytes from the remaining indigestible food matter. Therefore, the small intestine plays a crucial role in absorbing essential nutrients for the body's functions, making it the correct choice in this context.

3. Which of the following water-soluble vitamins is NOT synthesized in the large intestine?

• A. B6
• B. Biotin
• C. Pantothenic acid (Vitamin B5)
• D. Vitamin K

Correct answer: A

Rationale: The correct answer is A: B6. Vitamin B6 is not synthesized in the large intestine, while biotin, pantothenic acid (Vitamin B5), and Vitamin K can be synthesized by gut microflora. Biotin, B5, and K are examples of water-soluble vitamins that can be produced in the large intestine, but B6 needs to be obtained through dietary sources. Therefore, B6 is the correct answer as it is not synthesized within the large intestine, unlike the other options.

4. How does the body maintain a relatively constant blood pH level, even with changes in blood carbon dioxide concentration?

• A. Cellular respiration
• B. Gas exchange
• C. Buffering system
• D. Deoxygenation

Correct answer: C

Rationale: The correct answer is C: Buffering system. The buffering system is responsible for maintaining a relatively constant blood pH level by minimizing changes in pH when acids or bases are added to the blood. This system consists of chemical compounds that can donate or accept protons to help stabilize the pH. Choice A, Cellular respiration, and Choice B, Gas exchange, are processes involved in gas exchange within the body, not specifically related to maintaining blood pH. Choice D, Deoxygenation, refers to the removal of oxygen from a substance and is not directly related to the regulation of blood pH.

5. Which of the following are the abdominal quadrants?

• A. RUQ, RLQ, LLQ, LUQ
• B. RUQ, LUQ, RLQ, LLQ
• C. LUQ, RUQ, LLQ, RLQ
• D. LLQ, LUQ, RUQ, RLQ

Correct answer: B

Rationale: The correct answer is B: RUQ, LUQ, RLQ, LLQ. The four abdominal quadrants are named as follows: Right Upper Quadrant (RUQ), Left Upper Quadrant (LUQ), Right Lower Quadrant (RLQ), and Left Lower Quadrant (LLQ). These quadrants are used in healthcare to describe specific areas of the abdomen during assessments and discussions related to abdominal anatomy and pathology. Choices A, C, and D are incorrect because they do not follow the standard order of the abdominal quadrants.

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