Nursing Elites

1. Which of the following correctly orders the route of a fetus during childbirth?

• A. Uterus, cervix, vagina
• B. Cervix, uterus, vagina
• C. Uterus, vas deferens, vagina
• D. Ovary, fallopian tube, uterus

Correct answer: A

Rationale: The correct route of a fetus during childbirth is from the uterus, through the cervix, and then out through the vagina. The contractions of the uterus help push the fetus through the cervix and out through the vaginal canal during childbirth. Choice B is incorrect as it reverses the order of the cervix and uterus. Choice C is incorrect as it includes the vas deferens, which is not part of the female reproductive system. Choice D is incorrect as it lists structures from the female reproductive system but in the wrong order for childbirth.

2. What is the main function of the skeletal system?

• A. To regulate blood pressure
• B. To protect internal organs
• C. To produce hormones
• D. To fight infection

Correct answer: B

Rationale: The main function of the skeletal system is to provide structural support for the body, protect internal organs, facilitate movement, and produce blood cells in the bone marrow. Choice A, 'To regulate blood pressure,' is incorrect as blood pressure regulation is primarily controlled by the circulatory and endocrine systems. Choice C, 'To produce hormones,' is incorrect as hormone production is mainly carried out by the endocrine system. Choice D, 'To fight infection,' is incorrect as the immune system is responsible for fighting infections, not the skeletal system.

3. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

4. Bile, stored in the gallbladder, aids in the digestion of which nutrient?

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: C

Rationale: Bile, produced by the liver and stored in the gallbladder, aids in the digestion of fats. Bile emulsifies fats, breaking them down into smaller droplets to increase the efficiency of fat digestion by enzymes like lipase. This process enhances the absorption of fats in the small intestine, facilitating the body's utilization of essential fatty acids and fat-soluble vitamins. Carbohydrates are primarily broken down by enzymes like amylase, proteins by pepsin and other proteases, and vitamins have varying digestion and absorption processes, which do not involve bile. Therefore, the correct answer is fats as they are directly influenced by bile in the digestion process.

5. 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.

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