Nursing Elites

1. Which type of nutrient requires the most complex and lengthy digestion process?

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: B

Rationale: Rationale: Proteins require the most complex and lengthy digestion process among the options provided. When we consume proteins, they need to be broken down into amino acids, which are the building blocks of proteins. This process starts in the stomach with the help of stomach acid and enzymes, continues in the small intestine where more enzymes break down proteins into amino acids, and finally, these amino acids are absorbed into the bloodstream for various bodily functions. Carbohydrates and fats also require digestion, but the process for breaking down proteins into amino acids is more complex and time-consuming. Vitamins, on the other hand, do not require digestion in the same way as proteins, carbohydrates, and fats, as they are already in a form that can be readily absorbed by the body.

2. Which type of joint allows for the widest range of motion, like the shoulder joint?

• A. Hinge joint
• B. Ball-and-socket joint
• C. Gliding joint
• D. Fixed joint

Correct answer: B

Rationale: The correct answer is B: Ball-and-socket joint. A ball-and-socket joint, like the shoulder joint, allows for the widest range of motion in all directions, including flexion, extension, abduction, adduction, and rotation. This type of joint consists of a rounded, ball-like end of one bone fitting into a cup-like socket of another bone, providing great mobility and flexibility. Hinge joints, like the elbow, only allow movement in one plane (like a door hinge), gliding joints permit limited sliding movements between bones, and fixed joints, such as those in the skull, have no movement at all.

3. The large intestine absorbs water and electrolytes from digested food material. What waste product remains after water absorption and is eventually eliminated from the body?

• A. Chyme
• B. Bolus
• C. Glucose
• D. Feces

Correct answer: D

Rationale: The large intestine is responsible for absorbing water and electrolytes from digested food material. As the waste material moves through the large intestine, most of the water is absorbed, leaving behind waste products known as feces. Feces consist of indigestible material, bacteria, and some remaining waste products. This waste is eventually eliminated from the body through the process of defecation. Chyme refers to the semi-fluid mass of partially digested food that moves from the stomach to the small intestine. Bolus is a term used to describe a mass of chewed food ready to be swallowed. Glucose is a simple sugar that is absorbed in the small intestine and used as an energy source. Therefore, the correct answer is D: Feces.

4. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the nurse draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: B

Rationale: First convert micrograms to milliliters, knowing 1000 micrograms equal 1 milliliter. Divide the desired dosage (250 micrograms) by the conversion factor (1000 micrograms/milliliter) to find the volume needed: 250 micrograms / 1000 micrograms/milliliter = 0.00025 milliliters. However, drawing such a small volume might be inaccurate, so round to the nearest practical measurement, which is 0.0025 milliliters.

5. Which type of muscle is found in the walls of hollow organs, such as the stomach and intestines, and is responsible for involuntary contractions to propel substances through the organs?

• A. Cardiac muscle
• B. Smooth muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: b

Rationale: The correct answer is B: Smooth muscle. Smooth muscle is found in the walls of hollow organs like the stomach and intestines. It is responsible for involuntary contractions to move substances through these organs. Unlike skeletal muscle (answer C) and cardiac muscle (answer A), smooth muscle is not under voluntary control. Striated muscle (answer D) is a term that refers to both skeletal and cardiac muscle due to their striped appearance under a microscope, but smooth muscle does not have this striped appearance.

6. A patient weighs 180 pounds. What is their weight in kilograms (1kg = 2.2lbs)?

• A. 68kg
• B. 75kg
• C. 82kg
• D. 90kg

Correct answer: C

Rationale: Divide the weight in pounds (180) by the conversion factor (2.2lbs/kg).

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