Nursing Elites

1. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

2. Which hormone is produced by the pancreas to lower blood glucose levels?

• A. Glucagon
• B. Insulin
• C. Cortisol
• D. Melatonin

Correct answer: B

Rationale: The correct answer is B: Insulin. Insulin, produced by the pancreas, is the hormone responsible for lowering blood glucose levels. It achieves this by promoting the uptake of glucose into cells, thereby reducing the concentration of glucose in the bloodstream. Choice A, Glucagon, is actually a hormone produced by the pancreas that works to raise blood glucose levels by stimulating the liver to release stored glucose. Choice C, Cortisol, is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and regulation of metabolism. Choice D, Melatonin, is a hormone produced by the pineal gland that regulates sleep-wake cycles and is not directly involved in blood glucose level regulation.

3. Which structure in the kidney filters blood to form urine?

• A. Nephron
• B. Glomerulus
• C. Bowman's capsule
• D. Loop of Henle

Correct answer: B

Rationale: The glomerulus is a key structure in the kidney responsible for filtering blood. It consists of a network of capillaries that filter waste products and excess substances from the blood, allowing the formation of urine. While the nephron, Bowman's capsule, and Loop of Henle are also essential components of the kidney's filtration system, the glomerulus is specifically involved in the initial blood filtration process. The nephron is the functional unit of the kidney, Bowman's capsule surrounds the glomerulus and collects the filtrate, and the Loop of Henle is responsible for reabsorption and concentration of urine, not the initial blood filtration.

4. What is the main function of the urinary bladder?

• A. To filter blood
• B. To store and concentrate bile
• C. To store urine
• D. To absorb nutrients

Correct answer: C

Rationale: The correct answer is C: To store urine. The main function of the urinary bladder is to store urine produced by the kidneys before it is excreted from the body. It acts as a reservoir for urine until it is expelled during urination. Choices A, B, and D are incorrect because the urinary bladder does not filter blood, store or concentrate bile, or absorb nutrients. It is solely responsible for storing and releasing urine.

5. 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.

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