Nursing Elites

1. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

2. 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.

3. What is the function of the pancreas in digestion?

• A. Secreting digestive enzymes
• B. Producing bile
• C. Storing glucose
• D. Regulating blood sugar levels

Correct answer: A

Rationale: The correct answer is A: Secreting digestive enzymes. The pancreas aids in digestion by secreting digestive enzymes that are essential for breaking down carbohydrates, fats, and proteins in the small intestine. These enzymes help in the absorption of nutrients from food, facilitating the digestive process. Choices B, C, and D are incorrect. The pancreas does not produce bile (choice B), store glucose (choice C), or primarily regulate blood sugar levels (choice D) in the context of digestion.

4. Which is a secondary defense for the body against pathogens?

• A. Tears
• B. Urine
• C. Inflammation
• D. Mucus

Correct answer: C

Rationale: Inflammation is a secondary defense mechanism for the body against pathogens. When tissues are injured or infected, inflammation occurs as a protective response involving increased blood flow, white blood cell migration, and tissue repair. This process helps contain and eliminate pathogens, preventing them from spreading further in the body. Tears (Choice A) are a primary defense containing lysozyme and other antimicrobial agents. Urine (Choice B) is typically considered a non-specific defense mechanism due to its flushing action in the urinary tract. Mucus (Choice D) acts as a physical barrier and traps pathogens, also considered a primary defense mechanism.

5. Which hormone is involved in the fight or flight response?

• A. Cortisol
• B. Adrenaline
• C. Thyroxine
• D. Melatonin

Correct answer: B

Rationale: The correct answer is B: Adrenaline. Adrenaline, also known as epinephrine, is the hormone involved in the fight or flight response. It is released by the adrenal glands, preparing the body for action by increasing heart rate, dilating airways, and mobilizing energy stores. Choice A, Cortisol, is a hormone released in response to stress but is not directly involved in the fight or flight response. Choice C, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism and growth, not specifically associated with the fight or flight response. Choice D, Melatonin, is a hormone that regulates sleep-wake cycles and is not involved in the fight or flight response.

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