Nursing Elites

1. 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.

2. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

3. Which vitamin is important for the absorption of iron?

• A. Vitamin C
• B. Vitamin D
• C. Vitamin K
• D. Vitamin B12

Correct answer: A

Rationale: The correct answer is Vitamin C. Vitamin C is essential for the absorption of iron, especially from plant-based sources. It aids in converting non-heme iron (found in plants) into a form that is easier for the body to absorb. This is crucial in preventing iron-deficiency anemia, making Vitamin C a key nutrient for overall health. Vitamin D (choice B) is important for calcium absorption and bone health, not iron absorption. Vitamin K (choice C) plays a role in blood clotting and bone metabolism, not iron absorption. Vitamin B12 (choice D) is important for red blood cell formation and neurological function but is not directly involved in iron absorption.

4. What is the primary function of the cardiovascular system?

• A. To transport oxygen and nutrients
• B. To remove waste products
• C. To regulate body temperature
• D. To fight infections

Correct answer: A

Rationale: The correct answer is A: "To transport oxygen and nutrients." The primary function of the cardiovascular system is to transport oxygen, nutrients, and hormones to cells throughout the body and remove waste products. This system plays a crucial role in maintaining homeostasis by delivering essential substances to tissues and organs while eliminating metabolic waste. Choices B, C, and D are incorrect because although the cardiovascular system indirectly helps in removing waste products through circulation, its primary function is focused on transporting essential substances and not on regulating body temperature or fighting infections.

5. What is the primary function of the pancreas in digestion?

• A. To absorb nutrients
• B. To secrete digestive enzymes
• C. To produce bile
• D. To store glucose

Correct answer: B

Rationale: The correct answer is B: To secrete digestive enzymes. The pancreas plays a crucial role in digestion by secreting digestive enzymes that break down carbohydrates, fats, and proteins in the small intestine. These enzymes help in the process of breaking down food particles into smaller molecules that can be easily absorbed by the body for nutrients. Choices A, C, and D are incorrect as the primary function of the pancreas is not to absorb nutrients, produce bile, or store glucose in digestion.

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