Nursing Elites

1. How do the digestive system and urinary system work together?

• A. The digestive system controls the function of the ureter.
• B. The urinary system removes toxins from the products of digestion.
• C. The digestive system manufactures hormones that influence urination.
• D. The urinary system eliminates some waste products of digestion.

Correct answer: D

Rationale: The correct answer is D because the urinary system eliminates some waste products of digestion. After digestion in the digestive system, nutrients are absorbed into the bloodstream, and waste products are transported to the kidneys via the urinary system to be excreted as urine. This process helps eliminate waste products generated during digestion, illustrating the coordination between the digestive and urinary systems. Choices A, B, and C are incorrect. Choice A is incorrect as the ureter is part of the urinary system, not controlled by the digestive system. Choice B is incorrect as the urinary system primarily removes metabolic waste, not toxins from digestion. Choice C is incorrect because the digestive system mainly aids in digestion and nutrient absorption, not hormone production affecting urination.

2. Which gland is located superior to the kidney?

• A. Pituitary
• B. Adrenal
• C. Hypothalamus
• D. Pancreas

Correct answer: B

Rationale: The adrenal gland is located superior to the kidney. Each kidney is surrounded by an adrenal gland, also known as the suprarenal gland, situated on top of the kidneys. The pituitary gland (A) is located in the brain, while the hypothalamus (C) is also in the brain, above the pituitary gland. The pancreas (D) is located in the abdomen, near the stomach and small intestine, not superior to the kidney.

3. What is the primary function of the small intestine in the digestive system?

• A. To secrete digestive enzymes
• B. To absorb nutrients
• C. To break down food
• D. To absorb water

Correct answer: B

Rationale: The correct answer is B: To absorb nutrients. The small intestine's main role in the digestive system is to absorb nutrients from digested food. It has specialized structures, such as villi and microvilli, that increase its surface area for efficient absorption of nutrients into the bloodstream. Choice A is incorrect because the small intestine does not primarily secrete digestive enzymes; that role is mainly carried out by the pancreas and other digestive organs. Choice C is incorrect because the small intestine primarily absorbs nutrients rather than breaking down food. Choice D is incorrect because the absorption of water primarily occurs in the large intestine, not the small intestine.

4. Which hormone stimulates the production of red blood cells?

• A. Insulin
• B. Erythropoietin
• C. Glucagon
• D. Thyroxine

Correct answer: B

Rationale: Erythropoietin is the correct answer. It is the hormone responsible for stimulating the production of red blood cells. Erythropoietin is produced by the kidneys in response to low oxygen levels in the blood. This hormone promotes the generation of more red blood cells to increase the blood's oxygen-carrying capacity. Insulin (Choice A), Glucagon (Choice C), and Thyroxine (Choice D) do not stimulate the production of red blood cells. Insulin regulates blood sugar levels, Glucagon increases blood sugar levels, and Thyroxine regulates metabolism.

5. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

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