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. Which gland is often referred to as the 'master gland'?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pineal gland

Correct answer: B

Rationale: The pituitary gland is often referred to as the 'master gland' because it controls the release of hormones from other endocrine glands in the body. It secretes a variety of hormones that regulate various bodily functions and play a crucial role in maintaining homeostasis. The thyroid gland (Choice A) plays a role in regulating metabolism, the adrenal gland (Choice C) secretes hormones involved in stress response, and the pineal gland (Choice D) produces melatonin to regulate sleep-wake cycles, but they are not known as the 'master gland' due to their functions.

3. What is the primary function of the skin?

• A. To regulate body temperature
• B. To protect the body from external damage
• C. To produce vitamin D
• D. To produce red blood cells

Correct answer: B

Rationale: The primary function of the skin is to protect the body from external damage. While the skin also helps regulate body temperature and produces vitamin D in response to sunlight, its main role is to act as a barrier against harmful external factors, such as pathogens and physical injuries. Choices A, C, and D are incorrect because although the skin does play a role in regulating body temperature and producing vitamin D, its primary function is providing protection against external threats.

4. 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.

5. What is the main function of the lymphatic system?

• A. To transport oxygen
• B. To produce hormones
• C. To fight infections
• D. To transport nutrients

Correct answer: C

Rationale: The main function of the lymphatic system is to fight infections. It achieves this by filtering lymph, returning excess tissue fluid to the bloodstream, and aiding in the body's immune response. The lymphatic system is crucial in protecting the body against pathogens and maintaining overall health. Choices A, B, and D are incorrect because transporting oxygen, producing hormones, and transporting nutrients are functions performed by other systems in the body, like the respiratory, endocrine, and circulatory systems, respectively.

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