Nursing Elites

1. Diabetic nephropathy, a complication of diabetes, affects the:

• A. Ureters
• B. Bladder
• C. Urethra
• D. Nephrons

Correct answer: D

Rationale: Diabetic nephropathy, a complication of diabetes, affects the nephrons. Nephrons are the functional units of the kidneys responsible for filtering blood and producing urine. The high blood sugar levels associated with diabetes can damage the nephrons over time, leading to kidney dysfunction and, ultimately, kidney failure. Choices A, B, and C are incorrect because diabetic nephropathy primarily impacts the nephrons in the kidneys, not the ureters, bladder, or urethra.

2. 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.

3. What is the main function of the epiglottis?

• A. To store bile
• B. To absorb nutrients
• C. To prevent food from entering the trachea
• D. To produce digestive enzymes

Correct answer: C

Rationale: The epiglottis is a flap of cartilage located at the base of the tongue that covers the opening of the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food and liquids into the esophagus, which leads to the stomach for digestion, while also protecting the respiratory system from potential blockages that could lead to choking or aspiration pneumonia. Options A, B, and D are incorrect as the epiglottis is not involved in storing bile, absorbing nutrients, or producing digestive enzymes. Understanding the role of the epiglottis in the swallowing process is crucial for maintaining proper respiratory and digestive functions.

4. Dysentery is an infectious disease caused by which type of microbe?

• A. Helminth
• B. Bacteria
• C. Protozoan
• D. Fungus

Correct answer: B

Rationale: The correct answer is B: Bacteria. Dysentery is typically caused by bacterial infections, such as Shigella, Campylobacter, or Escherichia coli. While parasites and protozoa can also cause similar symptoms, bacterial infections are the most common causes of dysentery. Choice A (Helminth) is incorrect as helminths are parasitic worms that typically cause different types of infections. Choice C (Protozoan) is incorrect as some protozoa like Entamoeba histolytica can cause dysentery, but bacterial infections are more common. Choice D (Fungus) is incorrect as fungal infections do not typically cause dysentery.

5. Which of the following is NOT a major function of the respiratory system in humans?

• A. It provides a large surface area for gas exchange of oxygen and carbon dioxide.
• B. It helps regulate the blood's pH.
• C. It helps cushion the heart against jarring motions.
• D. It is responsible for vocalization.

Correct answer: C

Rationale: Option C, 'It helps cushion the heart against jarring motions,' is NOT a major function of the respiratory system in humans. The primary functions of the respiratory system include gas exchange, regulation of blood pH, and vocalization. The respiratory system does not play a role in cushioning the heart; that function is primarily carried out by the pericardium and other protective structures around the heart. Choices A, B, and D are major functions of the respiratory system in humans. Choice A refers to the respiratory system's role in gas exchange, Choice B highlights its involvement in regulating blood pH, and Choice D points out its responsibility for vocalization.

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