Nursing Elites

1. What is the primary function of the lymphatic system?

• A. Transporting nutrients throughout the body
• B. Removing excess fluids and waste products from tissues
• C. Producing red blood cells
• D. Regulating body temperature

Correct answer: B

Rationale: The primary function of the lymphatic system is to remove excess fluids, waste products, and toxins from tissues. It maintains fluid balance and supports the immune system by transporting lymph, which contains white blood cells, throughout the body. Choice A is incorrect as nutrient transport is primarily handled by the circulatory system. Choice C is incorrect because red blood cells are produced in the bone marrow, not the lymphatic system. Choice D is incorrect as the regulation of body temperature is mainly controlled by the endocrine system and thermoregulatory mechanisms in the body. Therefore, the correct answer is B.

2. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

3. Which type of tissue connects muscles to bones?

• A. Ligaments
• B. Tendons
• C. Cartilage
• D. Muscles

Correct answer: B

Rationale: The correct answer is B: Tendons. Tendons connect muscles to bones, not bones to muscles. They play a crucial role in transmitting the force generated by muscles to move bones, enabling movement. Ligaments (choice A) connect bones to bones, providing stability to joints. Cartilage (choice C) is a connective tissue found in joints, providing cushioning and flexibility. Muscles (choice D) are responsible for generating force through contraction but do not directly connect muscles to bones.

4. What is the role of bile in digestion?

• A. To break down carbohydrates
• B. To emulsify fats
• C. To neutralize stomach acid
• D. To absorb proteins

Correct answer: B

Rationale: Bile emulsifies fats, breaking them down into smaller droplets for easier digestion.

5. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

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