Nursing Elites

1. Where is a herniated lumbar disc most likely to cause pain?

• A. Along the radial nerve
• B. Within the spinal cord
• C. Along the sciatic nerve
• D. Along the tibial nerve

Correct answer: C

Rationale: A herniated lumbar disc is most likely to cause pain along the sciatic nerve. The sciatic nerve is a long nerve that extends from the lower back down the back of each leg. Compression of the sciatic nerve by a herniated disc can lead to symptoms such as pain, numbness, tingling, or weakness that radiates down the leg. This condition is commonly referred to as sciatica. Choices A, B, and D are incorrect because a herniated lumbar disc typically affects the sciatic nerve, not the radial nerve, spinal cord, or tibial nerve.

2. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

3. Which organelle is responsible for energy production in the cell?

• A. Nucleus
• B. Mitochondria
• C. Ribosomes
• D. Endoplasmic reticulum

Correct answer: B

Rationale: Mitochondria are the organelles responsible for energy production in the cell. They generate energy through cellular respiration, producing ATP, which is the primary energy currency of the cell. Known as the powerhouse of the cell, mitochondria play a vital role in meeting the energy demands of various cellular processes. The nucleus is responsible for storing genetic material, not energy production. Ribosomes are involved in protein synthesis, not energy production. The endoplasmic reticulum is involved in protein and lipid synthesis, as well as detoxification, but it is not primarily responsible for energy production.

4. What is the role of the pancreas in digestion?

• A. To secrete digestive enzymes
• B. To store bile
• C. To absorb nutrients
• D. To transport glucose

Correct answer: A

Rationale: The correct answer is A: To secrete digestive enzymes. The pancreas is responsible for secreting digestive enzymes that aid in breaking down carbohydrates, fats, and proteins in the small intestine, facilitating the process of digestion. Choice B is incorrect because the pancreas does not store bile; that is primarily the function of the gallbladder. Choice C is incorrect as the absorption of nutrients mainly occurs in the small intestine, not the pancreas. Choice D is incorrect as the transport of glucose is primarily regulated by insulin produced in the pancreas, but this is not the main role of the pancreas in digestion.

5. Which chamber of the heart is the strongest and largest?

• A. Left atrium
• B. Right atrium
• C. Right ventricle
• D. Left ventricle

Correct answer: D

Rationale: The left ventricle is the largest and most powerful chamber of the heart. It receives oxygenated blood from the left atrium and pumps it out to the body through the aorta, providing the body's tissues with vital oxygen and nutrients. The left atrium primarily acts as a receiving chamber for oxygenated blood from the lungs. The right atrium receives deoxygenated blood from the body, while the right ventricle pumps this blood to the lungs for oxygenation. Therefore, the correct answer is the left ventricle, as it is responsible for pumping oxygenated blood to the body.

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