Nursing Elites

1. What is the primary role of the liver in the body?

• A. Producing insulin
• B. Detoxifying harmful substances
• C. Digesting food
• D. Storing energy

Correct answer: B

Rationale: The correct answer is B: Detoxifying harmful substances. While the liver does produce bile for digestion and stores nutrients like glycogen, its primary function is to filter and detoxify blood coming from the digestive tract before passing it to the rest of the body. Therefore, choices A, C, and D are incorrect. Producing insulin is mainly done by the pancreas, digesting food is primarily the role of the stomach and intestines, and storing energy is a function of various organs like muscles and fat cells.

2. The skull is positioned ________ to the spinal cord.

• A. anterior
• B. posterior
• C. lateral
• D. superior

Correct answer: D

Rationale: The correct answer is D. The skull is superior to the spinal cord, meaning it is located above the spinal cord in anatomical position. Superior in anatomy refers to a structure being positioned higher or above another structure in the body. Choices A, B, and C are incorrect because they refer to different directional relationships. Anterior means in front of, posterior means behind, and lateral means to the side. In this case, the relationship between the skull and the spinal cord is based on a superior-inferior orientation.

3. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

4. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

5. Which part of the brain controls breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Cerebellum
• D. Hypothalamus

Correct answer: B

Rationale: The medulla oblongata, located in the brainstem, plays a crucial role in controlling vital functions such as breathing, heart rate, and blood pressure. It serves as the control center for automatic functions necessary for survival, making it the correct choice in this scenario. The cerebrum is responsible for higher brain functions like thinking and voluntary movements, so it does not control basic physiological functions like breathing and heart rate. The cerebellum is mainly involved in coordination and balance, while the hypothalamus regulates body temperature, hunger, and thirst, but not specifically breathing and heart rate.

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