Nursing Elites

1. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

2. Where does digestion begin in the digestive system?

• A. Stomach
• B. Mouth
• C. Small intestine
• D. Esophagus

Correct answer: B

Rationale: Digestion begins in the mouth. Mechanical digestion through chewing and chemical digestion through saliva initiate the breakdown of food. Enzymes in saliva start breaking down carbohydrates, marking the beginning of the digestive process. The stomach primarily functions in further breaking down food and mixing it with gastric juices. The small intestine is where most of the digestion and absorption of nutrients occur. The esophagus is a muscular tube that helps move food from the mouth to the stomach, but digestion does not begin there.

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

• A. To produce bile
• B. To store glucose
• C. To secrete digestive enzymes
• D. To detoxify harmful substances

Correct answer: A

Rationale: The liver's main role in digestion is to produce bile, a substance that aids in the breakdown and absorption of fats in the small intestine. Bile emulsifies fats, helping enzymes break them down into smaller molecules for easier absorption in the digestive tract. Therefore, the correct answer is A: 'To produce bile.' Storing glucose, secreting digestive enzymes, and detoxifying harmful substances are functions of the liver, but they are not primarily related to digestion.

4. Which structure of the respiratory system is involved in gas exchange?

• A. Trachea
• B. Bronchioles
• C. Alveoli
• D. Larynx

Correct answer: C

Rationale: The alveoli are the primary site for gas exchange in the respiratory system. These tiny air sacs in the lungs are where oxygen is taken up into the bloodstream and carbon dioxide is released from the bloodstream into the lungs to be exhaled. The trachea (Choice A) is the windpipe that carries air to and from the lungs but is not directly involved in gas exchange. Bronchioles (Choice B) are smaller airway branches that lead to the alveoli but do not participate in gas exchange themselves. The larynx (Choice D) plays a role in producing sound and protecting the airway but is not primarily responsible for gas exchange.

5. What is the function of platelets in the blood?

• A. Transporting oxygen
• B. Clotting blood
• C. Fighting infection
• D. Transporting nutrients

Correct answer: B

Rationale: Platelets, also known as thrombocytes, are responsible for clotting blood. When there is an injury, platelets help form blood clots to prevent excessive bleeding. This function is crucial in maintaining hemostasis and preventing hemorrhage. Choices A, C, and D are incorrect. Platelets do not transport oxygen, fight infection, or transport nutrients in the blood.

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