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. What is the primary function of the skeletal system?

• A. To produce blood cells
• B. To protect organs
• C. To store fat
• D. To secrete hormones

Correct answer: B

Rationale: The primary function of the skeletal system is to protect vital organs, provide structural support, and enable movement. It serves as a framework that supports and protects internal organs, such as the brain, heart, and lungs. Choice A is incorrect because blood cell production primarily occurs in the bone marrow, a component of the skeletal system but not its primary function. Choice C is incorrect because fat storage is not a primary function of the skeletal system. Choice D is incorrect because hormone secretion is mainly regulated by endocrine glands, not the skeletal system.

3. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

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

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

4. To which system do the retinas belong?

• A. skeletal system
• B. nervous system
• C. lymphatic system
• D. circulatory system

Correct answer: B

Rationale: The retinas belong to the nervous system. The retina is a layer of tissue at the back of the eye responsible for detecting light and sending visual information to the brain through the optic nerve. This process is essential for vision, which is controlled by the nervous system. Choices A, C, and D are incorrect because the retinas have no association with the skeletal, lymphatic, or circulatory systems.

5. What is the function of the pituitary gland?

• A. Regulating metabolism
• B. Producing bile
• C. Filtering blood
• D. Controlling muscle movement

Correct answer: A

Rationale: The pituitary gland, known as the 'master gland,' plays a crucial role in regulating various physiological processes by secreting hormones that control other endocrine glands. This includes the regulation of metabolism, growth, reproduction, stress response, and more. Therefore, the correct function of the pituitary gland is regulating metabolism, making choice A the correct answer. Choices B, C, and D are incorrect as the pituitary gland is not involved in producing bile, filtering blood, or controlling muscle movement.

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