Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. Which organ produces bile to aid in digestion?

• A. Pancreas
• B. Liver
• C. Gallbladder
• D. Stomach

Correct answer: B

Rationale: The correct answer is B: Liver. The liver produces bile, which is stored in the gallbladder and released into the small intestine to aid in the digestion and absorption of fats. The pancreas secretes digestive enzymes, not bile. The gallbladder stores bile but does not produce it. The stomach produces gastric juices, not bile, to aid in digestion.

3. Which of the following correctly lists the normal blood flow through the heart?

• A. Left ventricle, left atrium, body, right ventricle, right atrium, lungs
• B. Left atrium, left ventricle, lungs, right atrium, right ventricle, body
• C. Right atrium, right ventricle, lungs, left atrium, left ventricle, body
• D. Right ventricle, right atrium, body, left atrium, left ventricle, lungs

Correct answer: B

Rationale: The correct order of normal blood flow through the heart is as follows: from the body, blood flows into the right atrium, then to the right ventricle, followed by the lungs through the pulmonary artery for oxygenation. Oxygenated blood then returns to the heart through the pulmonary veins into the left atrium, then moves into the left ventricle before being pumped out to the body. Choice B correctly depicts this sequential flow of blood through the heart. Choices A, C, and D are incorrect as they do not follow the typical path of blood flow through the heart.

4. If the pressure in the pulmonary artery is increased above normal, which chamber of the heart will be affected first?

• A. The right atrium
• B. The left atrium
• C. The right ventricle
• D. The left ventricle

Correct answer: C

Rationale: When the pressure in the pulmonary artery is increased above normal, the right ventricle of the heart will be affected first. The right ventricle is responsible for pumping blood into the pulmonary artery, which carries deoxygenated blood to the lungs for oxygenation. Increased pressure in the pulmonary artery can result in increased workload on the right ventricle as it tries to pump blood against higher resistance, leading to potential strain and dysfunction in the right ventricle. Choices A, B, and D are incorrect because the right ventricle is the chamber directly connected to the pulmonary artery, and it bears the immediate impact of any changes in pressure within this artery. The right atrium receives deoxygenated blood from the body and the left atrium receives oxygenated blood from the lungs, while the left ventricle pumps oxygenated blood to the body and the right ventricle pumps deoxygenated blood to the lungs.

5. The pH scale is used to indicate the concentration of:

• A. Hydrogen ions
• B. Oxygen
• C. Salts
• D. Sugar molecules

Correct answer: A

Rationale: The pH scale is a measure of the concentration of hydrogen ions in a solution, representing its acidity or basicity. A lower pH value indicates higher hydrogen ion concentration and acidity, while a higher pH value indicates lower hydrogen ion concentration and basicity. Choice A, 'Hydrogen ions,' is the correct answer because the pH scale specifically measures the concentration of hydrogen ions in a solution. Choices B, C, and D are incorrect as the pH scale is not used to indicate the concentration of oxygen, salts, or sugar molecules.

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