Nursing Elites

1. What is the primary function of the liver?

• A. To produce bile, which aids in the digestion of fats
• B. To store energy in the form of glycogen
• C. To produce proteins that assist in blood clotting
• D. To detoxify harmful substances in the body

Correct answer: D

Rationale: The primary function of the liver is to detoxify harmful substances in the body. While the liver does produce bile to aid in the digestion of fats, this is not its primary function. Bile is stored in the gallbladder and released into the small intestine for fat digestion. Storing energy in the form of glycogen is a function of the liver, but not its primary one. Glycogen serves as a reserve of glucose. Although the liver produces proteins that assist in blood clotting, such as fibrinogen and prothrombin, this is not its main function. These proteins play a crucial role in blood clotting to prevent excessive bleeding. Therefore, the primary role of the liver is to detoxify harmful substances by processing and removing toxins, drugs, alcohol, and other harmful substances from the bloodstream, thereby reducing their harmful effects.

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. Which of the following blood vessels carries oxygenated blood from the lungs back to the left atrium of the heart?

• A. Pulmonary artery
• B. Pulmonary vein
• C. Aorta
• D. Inferior vena cava

Correct answer: B

Rationale: The correct answer is B: Pulmonary vein. The pulmonary vein carries oxygenated blood from the lungs back to the left atrium of the heart. This oxygenated blood is then pumped out to the rest of the body. The pulmonary artery, choice A, carries deoxygenated blood from the heart to the lungs for oxygenation. The aorta, choice C, is responsible for carrying oxygenated blood from the heart to the body's tissues. Choice D, the inferior vena cava, transports deoxygenated blood from the lower body back to the heart.

4. Which functional group is commonly found in ketones?

• A. Hydroxyl
• B. Carbonyl
• C. Ester
• D. Amine

Correct answer: B

Rationale: Ketones contain a carbonyl functional group, which consists of a carbon atom double-bonded to an oxygen atom. This distinguishes ketones from other functional groups such as hydroxyl, ester, and amine. The presence of the carbonyl group, not hydroxyl (choice A), ester (choice C), or amine (choice D), is characteristic of ketones, making choice B, 'Carbonyl', the correct answer.

5. How do killer T cells recognize infected cells?

• A. The B cells flag the infected cells with amino acids.
• B. Tiny bits of the virus's RNA are left around the cell.
• C. Macrophages show up to help consume the infected cell.
• D. The T cells have receptors that recognize the proteins the virus leaves on the surface of the cell.

Correct answer: D

Rationale: Killer T cells recognize infected cells by detecting viral proteins displayed on the surface of these cells. The T cells possess receptors specifically designed to identify these viral proteins, allowing them to target and eliminate the infected cells. Choice A is incorrect because B cells are not directly involved in the recognition process of infected cells by killer T cells. Choice B is incorrect because tiny bits of the virus's RNA being left around the cell is not how killer T cells primarily recognize infected cells. Choice C is incorrect because while macrophages play a role in immune responses, they do not directly assist in the recognition of infected cells by killer T cells.

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