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 type of muscle is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing individuals to consciously regulate its contractions for movement. Examples of skeletal muscle control include actions like walking, running, and lifting weights. Smooth muscle (choice A) and cardiac muscle (choice B) are both involuntary muscles, meaning they are not under conscious control. While skeletal muscle is striated (choice D), striated muscle is a broader category that includes both voluntary (skeletal) and involuntary (cardiac) muscles.

3. What is the primary function of the cardiovascular system?

• A. To pump blood throughout the body
• B. To deliver nutrients to tissues
• C. To regulate body temperature
• D. To protect the body from infection

Correct answer: A

Rationale: The primary function of the cardiovascular system is to pump blood throughout the body, ensuring that oxygen and nutrients are delivered to tissues while removing waste products. This circulation is essential for maintaining overall health and proper functioning of the body's cells and organs. Choices B, C, and D are incorrect because while the cardiovascular system does deliver nutrients to tissues indirectly by transporting them in the blood, regulating body temperature is primarily the role of the endocrine and nervous systems, and protecting the body from infection is the main function of the immune system.

4. What is the function of the liver in the body?

• A. To filter blood
• B. To produce bile and detoxify substances
• C. To produce insulin
• D. To produce red blood cells

Correct answer: B

Rationale: The correct answer is B: 'To produce bile and detoxify substances.' The liver's primary functions include producing bile, which aids in the digestion and absorption of fats, and detoxifying harmful substances in the blood. While the liver does play a role in blood filtration, its key functions are related to bile production and detoxification. Choices C and D are incorrect because the liver does not produce insulin (produced by the pancreas) or red blood cells (produced in the bone marrow).

5. Which hormone is released by the adrenal glands during stress?

• A. Insulin
• B. Adrenaline
• C. Melatonin
• D. Cortisol

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is released by the adrenal glands during stress to prepare the body for rapid action. It helps in triggering the body's fight-or-flight response, increasing heart rate, and providing a burst of energy when faced with stressful situations. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not by the adrenal glands. Melatonin (Choice C) is a hormone that regulates sleep-wake cycles and is produced by the pineal gland, not the adrenal glands. Cortisol (Choice D) is another hormone produced by the adrenal glands, but it is not the primary hormone released during immediate stress responses; it is more involved in long-term stress regulation.

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