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. Which of the following processes represents a different level of defense compared to the others?

• A. A low pH in the stomach
• B. Cilia present in the trachea
• C. Body cells recognizing a pathogen
• D. Mucus present in the nasal cavity

Correct answer: C

Rationale: Among the listed processes, low pH in the stomach, cilia in the trachea, and mucus in the nasal cavity serve as physical barriers that form the first line of defense against pathogens. These barriers work to block pathogens from entering the body. On the other hand, body cells recognizing a pathogen involves the immune response, which operates at a different level of defense. This process is part of the adaptive immune response, where the body's immune cells identify, target, and eliminate specific pathogens to provide a specialized defense after the pathogens have breached the physical barriers. Therefore, body cells recognizing a pathogen represent a different level of defense compared to the other listed processes.

3. Which organelle in the cell is responsible for packaging and distributing proteins?

• A. Ribosome
• B. Golgi apparatus
• C. Endoplasmic reticulum
• D. Mitochondrion

Correct answer: B

Rationale: The Golgi apparatus is an organelle responsible for packaging and distributing proteins and lipids within the cell. It modifies, sorts, and packages these molecules into vesicles for transportation to their final destinations, either within the cell or outside of it. The Golgi apparatus plays a crucial role in the secretory pathway of cells, ensuring that proteins are properly processed and directed to where they are needed. Ribosomes are responsible for protein synthesis, not packaging and distributing proteins. The endoplasmic reticulum is involved in protein synthesis and folding but not primarily in packaging and distributing proteins. Mitochondria are known as the powerhouse of the cell and are responsible for generating energy in the form of ATP through cellular respiration, not packaging and distributing proteins.

4. The lateral side of the right knee would be ___________.

• A. the kneecap
• B. closest to the left knee
• C. farthest from the left knee
• D. on the underside of the knee

Correct answer: C

Rationale: The lateral side of the right knee is the side that is farthest from the left knee when looking at the knee joint from the front. The term 'lateral' refers to the side of the body that is farther away from the midline or center of the body. In this case, the lateral side of the right knee is on the outer side of the knee joint, away from the other knee. Choice A is incorrect as the kneecap is located at the front of the knee. Choice B is incorrect as it describes the medial side, not the lateral side. Choice D is incorrect as it refers to the underside, which is not related to the lateral aspect of the knee.

5. Which part of the nervous system includes the femoral, radial, and ulnar nerves?

• A. Somatic
• B. Autonomic
• C. Sympathetic
• D. Parasympathetic

Correct answer: A

Rationale: The correct answer is A: Somatic. The femoral, radial, and ulnar nerves are all part of the somatic nervous system, responsible for controlling voluntary movements and sensory input. These nerves innervate muscles and skin throughout the body, allowing conscious control of movements and sensations. The somatic nervous system is distinct from the autonomic nervous system, which regulates involuntary bodily functions. Choices B, C, and D are incorrect because the autonomic nervous system (B) is responsible for involuntary functions, while the sympathetic (C) and parasympathetic (D) divisions are subdivisions of the autonomic nervous system, not the somatic nervous system.

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