Nursing Elites

1. How are kidney stones formed?

• A. Due to excess water not being reabsorbed
• B. When minerals crystallize in the urine
• C. When electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: Kidney stones are formed when minerals in the urine crystallize and stick together to form solid masses. Excess water not being reabsorbed (option A) does not directly contribute to kidney stone formation. Similarly, electrolytes becoming too concentrated (option C) is not a direct cause of kidney stone formation. The correct answer is B because the crystallization of minerals in the urine leads to the formation of kidney stones.

2. What is the meaning of the idiom 'to cross that bridge when we come to it'?

• A. To deal with a problem immediately
• B. To plan for the future in detail
• C. To worry about potential problems prematurely
• D. To avoid difficult situations

Correct answer: C

Rationale: The correct answer is C. The idiom 'to cross that bridge when we come to it' means to deal with challenges as they arise, not worrying about them prematurely. It suggests addressing problems when they actually occur rather than stressing over potential issues in advance. Choice A, 'To deal with a problem immediately,' is incorrect because the idiom is about not addressing problems prematurely. Choice B, 'To plan for the future in detail,' is incorrect as it goes against the essence of the idiom, which is about dealing with issues when they happen, not planning extensively in advance. Choice D, 'To avoid difficult situations,' is incorrect as the idiom implies facing challenges when they present themselves rather than avoiding them.

3. What is the ultimate end product of glucose breakdown in glycolysis?

• A. ATP
• B. NADPH
• C. Pyruvic acid
• D. Oxygen

Correct answer: C

Rationale: The ultimate end product of glucose breakdown in glycolysis is pyruvic acid. During glycolysis, glucose is broken down into pyruvic acid through a series of enzymatic reactions. ATP is produced as an energy carrier during glycolysis, but it is not the final end product. NADPH is not a direct product of glycolysis; it is mainly produced in the pentose phosphate pathway. Oxygen is not a product of glycolysis but is used as an electron acceptor in the electron transport chain of cellular respiration.

4. Which of the following layers of skin acts as an energy reserve by storing adipocytes and releasing them into circulation when energy is needed?

• A. epidermis
• B. dermis
• C. hypodermis
• D. stratum basale

Correct answer: C

Rationale: The hypodermis, also known as the subcutaneous tissue, is the deepest layer of the skin. This layer contains adipocytes (fat cells) that act as an energy reserve by storing excess energy in the form of fat. When energy is needed, these stored fats can be released into circulation to be used by the body's cells. The epidermis is the outermost layer of the skin, primarily responsible for providing a protective barrier. The dermis lies between the epidermis and hypodermis and contains blood vessels, nerves, and structures like hair follicles and sweat glands. The stratum basale is the deepest layer of the epidermis, responsible for cell renewal and regeneration.

5. What is the primary function of the epiglottis in the respiratory system?

• A. Filtration of air
• B. Production of mucus
• C. Prevention of food entering the trachea
• D. Oxygen exchange in the alveoli

Correct answer: C

Rationale: The primary function of the epiglottis in the respiratory system is to prevent food from entering the trachea. During swallowing, the epiglottis covers the opening of the trachea, guiding food down the esophagus to the stomach and preventing it from entering the airway. This mechanism safeguards the respiratory system from foreign objects, ensuring proper air passage and avoiding potential choking hazards. Choices A, B, and D are incorrect: A) Filtration of air is mainly performed by the nasal hairs and the mucous membranes of the respiratory tract. B) Production of mucus is primarily carried out by the mucous glands in the respiratory system to trap particles and humidify the air. D) Oxygen exchange in the alveoli occurs in the lungs and is related to the process of respiration, not the function of the epiglottis.

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