Nursing Elites

1. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

• A. Pleura
• B. Trachea
• C. Bronchioles
• D. Alveoli

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

2. What is the primary role of the large intestine?

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

Correct answer: B

Rationale: The correct answer is B: To absorb water. The primary role of the large intestine is to absorb water from indigestible food matter. This absorption process helps in forming solid waste for excretion. Nutrient absorption primarily occurs in the small intestine, not the large intestine. Breaking down food and secreting digestive enzymes are functions primarily associated with the stomach and small intestine.

3. What condition might result from a lack of vitamin C?

• A. Kwashiorkor
• B. Pellagra
• C. Rickets
• D. Scurvy

Correct answer: D

Rationale: Scurvy is the correct answer. Scurvy is a condition caused by a deficiency of vitamin C in the diet. Vitamin C is essential for collagen synthesis, and its deficiency leads to symptoms such as weakness, swollen and bleeding gums, joint pain, fatigue, and easy bruising. If left untreated, scurvy can lead to more severe complications. Choices A, B, and C are incorrect. Kwashiorkor is a severe form of malnutrition due to insufficient protein intake, pellagra is caused by a deficiency of niacin (vitamin B3), and rickets results from a deficiency of vitamin D, calcium, or phosphate.

4. Which muscle is responsible for the extension of the elbow?

• A. Biceps brachii
• B. Triceps brachii
• C. Deltoid
• D. Pectoralis major

Correct answer: B

Rationale: The correct answer is B: Triceps brachii. The triceps brachii muscle is responsible for extending the elbow joint. It is located on the back of the upper arm and acts in opposition to the biceps brachii, which is responsible for elbow flexion. The deltoid muscle is primarily responsible for shoulder abduction, not elbow extension. The pectoralis major muscle is involved in movements of the shoulder joint, not the elbow.

5. 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.

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