Nursing Elites

1. Which of the following is the main function of the small intestine?

• A. To store food and break it down into smaller pieces
• B. To absorb nutrients into the bloodstream
• C. To produce enzymes that help digest food
• D. To eliminate waste products from the body

Correct answer: B

Rationale: Rationale: The small intestine is a crucial part of the digestive system where the majority of nutrient absorption takes place. It is lined with tiny finger-like projections called villi that increase the surface area for absorption. The small intestine absorbs nutrients such as carbohydrates, proteins, fats, vitamins, and minerals from the digested food into the bloodstream to be transported to cells throughout the body for energy, growth, and repair. Options A, C, and D do not accurately describe the main function of the small intestine.

2. The term "goiter" refers to a condition characterized by:

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: The term 'goiter' specifically refers to the abnormal enlargement of the thyroid gland. This can be due to various reasons such as iodine deficiency, Hashimoto's thyroiditis, or Graves' disease. Options A, C, and D are incorrect as they describe conditions related to other glands and hormones in the endocrine system. It is important to differentiate between different endocrine disorders to accurately diagnose and treat patients. Therefore, the correct answer is B, as a goiter is characterized by the excessive growth of the thyroid gland.

3. She conducts a 6-month performance review session with a staff member. Which of the

• A. She asks another nurse to attest the session as a witness.
• B. She informs the staff that she may ask another nurse to read the appraisal before the session is
• C. She tells the staff that the session is manager-centered.
• D. The session is private between the two members.

Correct answer: C

Rationale: Option C is the correct answer because telling the staff that the session is manager-centered indicates that the focus will be on the manager's evaluation and feedback rather than promoting a collaborative and transparent review process. This approach can lead to a one-sided assessment and may not foster open communication or growth opportunities for the staff member. Options A and B involve bringing in another nurse, which could potentially compromise the privacy and effectiveness of the performance review. Option D, stating that the session is private between the two members, does not address the issue of the session being manager-centered. Therefore, option C is the most appropriate choice to highlight the importance of a balanced and inclusive performance review process.

4. Which structure in the respiratory system serves as a passageway for both air and food, with a flap-like structure that prevents food from entering the trachea during swallowing?

• A. Larynx
• B. Pharynx
• C. Trachea
• D. Bronchi

Correct answer: B

Rationale: The correct answer is B: Pharynx. The pharynx is a structure in the respiratory system that serves as a passageway for both air and food. It has a flap-like structure called the epiglottis, which prevents food from entering the trachea during swallowing. The larynx is commonly known as the voice box and is responsible for sound production. The trachea is a tube that carries air to and from the lungs, and the bronchi are the two main branches that lead from the trachea to the lungs. Therefore, the pharynx is the correct answer as it specifically fits the description provided in the question.

5. What is the significance of studying pedigrees in human genetics?

• A. Predicting the exact outcome of genetic crosses in humans.
• B. Tracing the inheritance of complex traits with multiple contributing genes.
• C. Identifying carriers of dominant genetic disorders.
• D. Determining the risk of acquiring a specific mutation de novo.

Correct answer: B

Rationale: Rationale: Pedigrees are diagrams that show the relationships within a family and can be used to track the inheritance patterns of specific traits or diseases. While pedigrees can provide information on the inheritance of single gene disorders (such as identifying carriers of dominant genetic disorders, as mentioned in option C), their primary significance lies in studying complex traits with multiple contributing genes. These traits do not follow simple Mendelian inheritance patterns and are influenced by both genetic and environmental factors. By analyzing pedigrees, researchers can identify patterns of inheritance for complex traits, such as polygenic diseases or traits influenced by gene-environment interactions. Therefore, option B is the most appropriate choice as it captures the main significance of studying pedigrees in human genetics.

6. Micturition involves a combination of:

• A. Gravity alone
• B. Voluntary muscle contractions only
• C. Involuntary muscle contractions only
• D. Both voluntary and involuntary muscle contractions

Correct answer: D

Rationale: The correct answer is D: 'Both voluntary and involuntary muscle contractions.' Micturition, also known as urination, is a complex process involving both voluntary and involuntary muscle contractions. The voluntary muscle contractions allow us to control when we urinate, while the involuntary muscle contractions help to expel urine from the bladder. Gravity alone (option A) is not sufficient for micturition, as muscle contractions are necessary to empty the bladder. Similarly, relying on voluntary muscle contractions only (option B) would not be effective, as involuntary contractions are also needed to fully empty the bladder. Lastly, option C stating 'Involuntary muscle contractions only' is incorrect because voluntary muscle contractions play a crucial role in micturition. Therefore, option D is the most comprehensive and accurate choice.

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