Nursing Elites

1. What is the main function of the pancreas?

• A. To store food and break it down into smaller pieces
• B. To absorb nutrients into the bloodstream
• C. To produce enzymes that help digest food
• D. To regulate blood sugar levels

Correct answer: C

Rationale: The main function of the pancreas is to produce digestive enzymes that aid in breaking down carbohydrates, fats, and proteins in food. These enzymes are essential for the digestion and absorption of nutrients in the small intestine. While the pancreas also plays a role in regulating blood sugar levels by producing insulin and glucagon, its primary function is to produce enzymes for food digestion. Options A and B are incorrect as the pancreas is not involved in storing food or absorbing nutrients into the bloodstream.

2. Which of the following conditions is characterized by a wasting or decrease in muscle mass?

• A. Hypertrophy
• B. Atrophy
• C. Spasticity
• D. Myopathy

Correct answer: B

Rationale: Atrophy is the correct answer as it is characterized by a wasting or decrease in muscle mass. Hypertrophy, on the other hand, refers to an increase in muscle size. Spasticity is associated with increased muscle tone due to continuous contraction of muscles. Myopathy, on the other hand, is a broad term used to describe various muscle diseases affecting muscle tissue, which may or may not involve muscle wasting.

3. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

4. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

5. 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.

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