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. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

4. Which system does the gall bladder belong to?

• A. endocrine system
• B. urinary system
• C. digestive system
• D. nervous system

Correct answer: C

Rationale: The gall bladder is part of the digestive system. Its primary function is to store and concentrate bile produced by the liver and release it into the small intestine to aid in the digestion of fats. This process facilitates the breakdown and absorption of fats from the food we consume. Choices A, B, and D are incorrect as the gall bladder is not associated with the endocrine, urinary, or nervous systems.

5. What is the function of the stomach in the digestive system?

• A. To absorb nutrients
• B. To break down food
• C. To produce bile
• D. To store waste

Correct answer: B

Rationale: The correct answer is B: 'To break down food.' The stomach plays a crucial role in the digestive system by breaking down food using gastric acid and digestive enzymes. This process transforms the food into a semi-liquid mixture known as chyme, which is further digested in the small intestine. Choices A, C, and D are incorrect because the stomach does not primarily absorb nutrients, produce bile, or store waste. These functions are carried out by other organs in the digestive system such as the small intestine, liver, and large intestine, respectively.

Similar Questions