Nursing Elites

1. Which of the following best describes the process of osmosis?

• A. Movement of molecules against their concentration gradient
• B. Movement of water across a selectively permeable membrane
• C. Movement of water and solutes together
• D. Movement of large molecules through a membrane

Correct answer: B

Rationale: The correct answer is B. Osmosis is the process where water moves across a selectively permeable membrane from an area of low solute concentration to an area of high solute concentration. Choice A is incorrect because osmosis does not involve movement against the concentration gradient. Choice C is incorrect because osmosis primarily involves the movement of water, not water and solutes together. Choice D is incorrect as osmosis specifically refers to the movement of water molecules, not large molecules, through a membrane.

2. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. Identify the INCORRECT function of the liver.

• A. Bile production to aid digestion.
• B. Synthesis of blood proteins, such as albumin.
• C. Storage of glucose for energy regulation.
• D. Filtration of waste products from the blood.

Correct answer: D

Rationale: A) Correct - The liver produces bile, which aids in the digestion and absorption of fats in the small intestine. B) Correct - The liver is responsible for synthesizing blood proteins, including albumin, which helps maintain osmotic pressure in the blood. C) Correct - The liver stores glucose in the form of glycogen and helps regulate blood sugar levels by releasing glucose when needed. D) Incorrect - The liver does not filter waste products from the blood. Instead, the kidneys are responsible for filtering waste products from the blood and excreting them in the form of urine.

4. What is the Golgi apparatus?

• A. A network of tubules that transport proteins and lipids throughout the cell
• B. A sac-like structure that stores water and nutrients
• C. The site of protein synthesis
• D. The site of protein modification and packaging

Correct answer: D

Rationale: The Golgi apparatus is an organelle in the cell responsible for modifying, sorting, and packaging proteins and lipids for transport to their final destinations. It consists of a series of flattened sacs called cisternae and plays a crucial role in processing proteins synthesized in the endoplasmic reticulum. Option A is incorrect because the network of tubules that transport proteins and lipids throughout the cell is typically associated with the endoplasmic reticulum. Option B is incorrect as the structure described is more characteristic of a vacuole, which stores water and nutrients. Option C is incorrect as protein synthesis primarily occurs in the ribosomes, not the Golgi apparatus.

5. Long bones are one of the five major types of bones in the human body. All of the following bones are long bones, EXCEPT

• A. Thighs
• B. Forearms
• C. Ankles
• D. Fingers

Correct answer: D

Rationale: Long bones are one of the five major types of bones in the human body, characterized by their elongated shape. Thighs, forearms, and ankles are examples of long bones as they are longer than they are wide and have a tubular structure, aiding in support and movement. Fingers, however, are categorized as short bones due to their small size and shape. Short bones like fingers are essential for providing dexterity and precise movements rather than supporting weight or acting as levers for movement. Therefore, the correct answer is D, Fingers, as they are not classified as long bones.

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