Nursing Elites

1. Which of the following statements is anatomically correct?

• A. The knee is distal to the ankle.
• B. The heart is inferior to the diaphragm.
• C. The hip is proximal to the knee.
• D. The wrist is proximal to the elbow.

Correct answer: C

Rationale: The term 'proximal' refers to a body part being closer to the center of the body or a point of reference. In this case, the hip is closer to the center of the body compared to the knee, which makes the statement anatomically correct. Choice A is incorrect as the knee is proximal to the ankle. Choice B is incorrect as the heart is superior to the diaphragm. Choice D is incorrect as the elbow is proximal to the wrist.

2. 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.

3. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

4. Which cellular structure is responsible for producing energy?

• A. Nucleus
• B. Mitochondria
• C. Ribosome
• D. Golgi apparatus

Correct answer: B

Rationale: Mitochondria are the organelles responsible for producing energy in the cell through a process called cellular respiration. They are often referred to as the powerhouses of the cell due to their role in generating ATP, the cell's energy currency. The nucleus is not involved in energy production but houses the cell's genetic material. Ribosomes are responsible for protein synthesis, not energy production. The Golgi apparatus is involved in processing and packaging proteins for secretion, not energy production.

5. Which structure in the kidney filters blood?

• A. Nephron
• B. Glomerulus
• C. Bowman's capsule
• D. Loop of Henle

Correct answer: B

Rationale: The correct answer is the Glomerulus. The glomerulus is a network of tiny blood vessels located within the Bowman's capsule. It acts as the initial filtering component in the nephron, filtering blood and allowing waste products and excess substances to pass through to form urine. Choice A, Nephron, is incorrect as the nephron is the structural and functional unit of the kidney composed of several parts, including the glomerulus. Choice C, Bowman's capsule, is where the glomerulus is located, but it is not the structure responsible for filtering blood. Choice D, Loop of Henle, plays a role in reabsorption of water and electrolytes but is not the primary structure for blood filtration in the kidney.

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