Nursing Elites

1. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

2. What is the primary function of the lymphatic system?

• A. To transport oxygen throughout the body
• B. To filter blood and remove waste
• C. To fight infection and remove excess fluid
• D. To transport hormones

Correct answer: C

Rationale: The correct answer is C: 'To fight infection and remove excess fluid.' The lymphatic system plays a crucial role in the body's immune response by fighting infections through lymphocytes and removing excess fluid from tissues, maintaining fluid balance. It does not primarily transport oxygen, filter blood, or transport hormones. While the lymphatic system is involved in lipid absorption and transport, its primary functions are related to immunity and fluid balance.

3. What is the process of converting simple sugars into complex carbohydrates called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Krebs cycle
• D. Oxidative phosphorylation

Correct answer: B

Rationale: Gluconeogenesis is the correct answer. It is the process of synthesizing glucose from non-carbohydrate sources, such as amino acids or glycerol. A) Glycolysis is the process of breaking down glucose into pyruvate to produce energy. C) The Krebs cycle, also known as the citric acid cycle, generates energy through the oxidation of acetyl-CoA derived from carbohydrates, fats, and proteins. D) Oxidative phosphorylation is the final stage of cellular respiration where ATP is produced using energy derived from the electron transport chain. Therefore, choices A, C, and D are not the processes involved in converting simple sugars into complex carbohydrates.

4. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

5. An object is thrown upwards and reaches a maximum height. Which of the following statements is TRUE about its velocity and acceleration at the peak?

• A. Velocity is zero and acceleration is maximum upwards.
• B. Velocity is maximum and acceleration is zero.
• C. Velocity is maximum and acceleration is maximum upwards.
• D. Velocity is zero and acceleration is maximum downwards.

Correct answer: A

Rationale: At the peak of the object's motion, its velocity is zero because it momentarily stops before changing direction and starts to fall back down. The acceleration at the peak is maximum upwards as gravity is acting against the object's motion, slowing it down until it stops momentarily. Choice A is correct because at the peak, the object's velocity is zero, and the acceleration is maximum upwards. Choice B is incorrect because the velocity is not maximum but zero at the peak. Choice C is incorrect as both velocity and acceleration are not maximum at the peak. Choice D is incorrect as the acceleration at the peak is upwards, opposing the object's motion, not downwards.

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