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 organ system is primarily responsible for integrating voluntary movements?

• A. Cardiovascular system
• B. Digestive system
• C. Respiratory system
• D. Nervous system

Correct answer: D

Rationale: The correct answer is D: Nervous system. The nervous system is primarily responsible for integrating voluntary movements. This system includes the brain, spinal cord, and peripheral nerves that communicate signals throughout the body to control movement. The brain interprets sensory information, formulates decisions, and sends signals to the muscles to execute voluntary movements. The cardiovascular system is responsible for circulating blood, the digestive system for breaking down food and absorbing nutrients, and the respiratory system for gas exchange in the body. Choices A, B, and C are incorrect as they do not play a primary role in integrating voluntary movements.

3. What is the main component of the cell membrane?

• A. Proteins
• B. Carbohydrates
• C. Lipids
• D. Nucleic acids

Correct answer: C

Rationale: The main component of the cell membrane is the phospholipid bilayer, which is primarily composed of lipids. Lipids form a barrier that separates the interior of the cell from the external environment, providing structural integrity and regulating the passage of substances in and out of the cell. Proteins are also essential components of the cell membrane, serving various functions such as transport, signaling, and cell recognition. Carbohydrates are present in the form of glycoproteins and glycolipids on the cell membrane surface, contributing to cell-cell recognition. Nucleic acids are not a primary component of the cell membrane.

4. Which organ system is largely responsible for controlling stress?

• A. The endocrine system
• B. The digestive system
• C. The lymphatic system
• D. The respiratory system

Correct answer: A

Rationale: The endocrine system is largely responsible for controlling stress through the release of hormones such as cortisol and adrenaline. These hormones help regulate the body's response to stress by increasing heart rate, blood pressure, and energy production. The endocrine system plays a crucial role in the body's stress response and helps the body adapt to and cope with stressful situations. The digestive system (Choice B) is primarily responsible for breaking down food and absorbing nutrients, not controlling stress. The lymphatic system (Choice C) is responsible for immune function and maintaining fluid balance, not controlling stress. The respiratory system (Choice D) is responsible for the exchange of oxygen and carbon dioxide, not controlling stress.

5. Through which organ do muscles push food into the stomach via peristalsis?

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

Correct answer: D

Rationale: The correct answer is D, Esophagus. Muscles push food into the stomach via peristalsis in the esophagus. Peristalsis is a coordinated muscular contraction that helps move food from the mouth to the stomach through the esophagus. The rhythmic contractions of the esophageal muscles create a wave-like motion that propels food downward toward the stomach for digestion. Choices A, B, and C are incorrect because the mouth is where digestion begins but does not push food into the stomach, the small intestine is mainly responsible for absorbing nutrients, and the epiglottis is a flap that prevents food from entering the trachea during swallowing, not involved in pushing food into the stomach.

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