Nursing Elites

1. At what stage is urine formed in the kidney?

• A. After fluid reaches the bladder.
• B. When fluid fills the collecting duct.
• C. Before blood enters the glomerulus.
• D. During fluid transport to the urethra.

Correct answer: B

Rationale: Urine is formed when fluid fills the collecting duct in the kidney. The collecting duct is where the final concentration of urine occurs after the filtration process in the nephron. Choice A is incorrect because urine formation happens before fluid reaches the bladder. Choice C is incorrect because urine formation occurs after blood has been filtered in the glomerulus. Choice D is incorrect because urine formation happens before fluid is transported to the urethra for elimination.

2. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

3. Which type of blood cell is responsible for carrying oxygen?

• A. White blood cell
• B. Red blood cell
• C. Platelet
• D. Plasma

Correct answer: B

Rationale: The correct answer is B: Red blood cell. Red blood cells, also known as erythrocytes, are responsible for carrying oxygen from the lungs to the body's tissues. They contain hemoglobin, a protein that binds to oxygen and transports it throughout the body. White blood cells (Choice A) are part of the immune system and help fight infections, not involved in carrying oxygen. Platelets (Choice C) are responsible for blood clotting, not oxygen transport. Plasma (Choice D) is the liquid component of blood that carries various substances like nutrients and waste products, but it does not directly carry oxygen.

4. What does the P-wave in an ECG correspond to?

• A. Atrial repolarization
• B. Depolarization of SA node
• C. Ventricular depolarization
• D. Ventricular repolarization

Correct answer: B

Rationale: The P-wave in an ECG represents the depolarization of the SA node and the atria, not atrial repolarization. Choice C, ventricular depolarization, is incorrect because the P-wave does not correspond to ventricular activity. Choice D, ventricular repolarization, is also incorrect as the P-wave does not depict ventricular repolarization. The correct interpretation is that the P-wave signifies the initiation of the electrical impulse at the SA node and subsequent atrial depolarization, making option B the correct answer.

5. Where does gas exchange occur in the human body?

• A. Alveoli
• B. Bronchi
• C. Larynx
• D. Pharynx

Correct answer: A

Rationale: The correct answer is A: Alveoli. Gas exchange occurs in the alveoli, which are tiny air sacs in the lungs. Oxygen from the air we breathe diffuses into the blood vessels surrounding the alveoli, while carbon dioxide from the blood diffuses into the alveoli to be exhaled. The bronchi, larynx, and pharynx are all part of the respiratory system but are not directly involved in gas exchange. The bronchi are airways that lead to the lungs, the larynx is the voice box, and the pharynx is the throat. These structures are important for breathing and vocalization but do not participate in the exchange of gases between the respiratory system and the circulatory system.

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