Nursing Elites

1. A truck driver traveled 925 miles from 8 am Tuesday to 5 pm Wednesday. During that time, he stopped for 30 minutes for lunch and gas at 1 pm Tuesday. He stopped for the night at 7 pm and was back on the road at 5 am. What was his average speed?

• A. 42 mph
• B. 35 mph
• C. 30 mph
• D. 50 mph

Correct answer: A

Rationale: To find the average speed, divide the total distance traveled (925 miles) by the total time taken (22 hours). Subtracting the time for the lunch and gas stop (30 minutes) and overnight stop (7 pm to 5 am, 10 hours), we have a total elapsed time of 22 hours. Dividing 925 miles by 22 hours gives an average speed of approximately 42 mph. Choice B, 35 mph, is incorrect because it doesn't account for the total time spent including the stops. Choice C, 30 mph, is incorrect as it underestimates the speed. Choice D, 50 mph, is incorrect as it overestimates the speed.

2. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

3. Which organ in the body is responsible for insulin production?

• A. Pancreas
• B. Liver
• C. Gallbladder
• D. Kidneys

Correct answer: A

Rationale: The correct answer is the pancreas. The pancreas is responsible for producing insulin, a hormone crucial for regulating blood glucose levels. Insulin plays a key role in allowing cells to take in glucose, thereby helping to keep blood sugar levels in check. The liver (choice B), gallbladder (choice C), and kidneys (choice D) do not produce insulin. The liver is involved in glycogen storage and glucose regulation, the gallbladder stores bile, and the kidneys filter blood and regulate fluid balance.

4. What does Manifestation mean?

• A. A symptom or sign of a condition
• B. An indication or sign of a condition
• C. A treatment plan
• D. A type of diagnosis

Correct answer: B

Rationale: Manifestation means an indication or sign of a condition. It is not a treatment plan (choice C) or a type of diagnosis (choice D). While choice A is close, 'symptom' is more specific than 'indication' in this context, making choice B the most accurate.

5. What is the role of the gallbladder in digestion?

• A. To produce bile
• B. To store and concentrate bile
• C. To break down fats
• D. To secrete digestive enzymes

Correct answer: B

Rationale: The gallbladder's primary function in digestion is to store and concentrate bile produced by the liver. Bile is essential for the digestion and absorption of fats in the small intestine. While the gallbladder does not produce bile (Choice A) or secrete digestive enzymes (Choice D), it plays a crucial role in storing and releasing bile when needed. Therefore, the correct answer is B.

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