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. Which of the following is true about skeletal muscle?

• A. Skeletal muscle makes up 40% of the body's weight.
• B. Skeletal muscle attaches to bones by tendons.
• C. Muscle contraction is not involved in temperature regulation.
• D. Skeletal muscles contract only when in use.

Correct answer: B

Rationale: The correct statement is that skeletal muscle attaches to bones through tendons, enabling movement. Tendons connect muscles to bones and allow the force generated by muscle contraction to be transmitted to the bones, facilitating voluntary movements. Choice A is incorrect because skeletal muscle typically makes up around 40-50% of an individual's body weight, not a fixed 40%. Choice C is incorrect as muscle contraction plays a vital role in temperature regulation by generating heat. Choice D is incorrect as skeletal muscles may have constant low-level contractions even at rest, known as muscle tone.

3. Which type of joint is found in the knee?

• A. Ball and socket joint
• B. Hinge joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is a hinge joint. The knee is a hinge joint that allows for flexion and extension movements, enabling the leg to bend and straighten. This type of joint is designed for movement along one plane, similar to a door hinge. Choice A, ball and socket joint, is incorrect as this type of joint allows for a wider range of motion in multiple directions, unlike the knee joint. Choice C, pivot joint, and Choice D, saddle joint, are also incorrect as they do not accurately describe the type of joint found in the knee.

4. 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.

5. Which mineral supports the function of the thyroid?

• A. Manganese
• B. Iodine
• C. Phosphorus
• D. Zinc

Correct answer: B

Rationale: Iodine is the mineral that supports the function of the thyroid. The thyroid gland requires iodine to produce thyroid hormones, which are essential for regulating metabolism and other important bodily functions. A deficiency in iodine can lead to thyroid disorders such as hypothyroidism or goiter. Manganese (Choice A), Phosphorus (Choice C), and Zinc (Choice D) do not play a direct role in supporting the thyroid function like iodine does. While these minerals are important for various bodily functions, they are not specifically required for the thyroid gland's hormone production.

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