Nursing Elites

1. Which of the following statements is anatomically correct?

• A. The knee is distal to the ankle.
• B. The heart is inferior to the diaphragm.
• C. The hip is proximal to the knee.
• D. The wrist is proximal to the elbow.

Correct answer: C

Rationale: The term 'proximal' refers to a body part being closer to the center of the body or a point of reference. In this case, the hip is closer to the center of the body compared to the knee, which makes the statement anatomically correct. Choice A is incorrect as the knee is proximal to the ankle. Choice B is incorrect as the heart is superior to the diaphragm. Choice D is incorrect as the elbow is proximal to the wrist.

2. What is the primary function of the lymphatic system?

• A. Transport oxygen to cells
• B. Remove carbon dioxide from the body
• C. Produce hormones
• D. Transport nutrients

Correct answer: B

Rationale: The correct answer is B: Remove carbon dioxide from the body. The primary function of the lymphatic system is to return excess tissue fluid to the bloodstream and assist in the body's defense against infections by filtering out harmful pathogens and foreign particles. Choices A, C, and D are incorrect because transporting oxygen to cells is mainly done by the circulatory system, hormone production is primarily carried out by endocrine glands, and nutrient transport is also a function of the circulatory system and the digestive system, not the lymphatic system.

3. Which chamber of the heart is the strongest and largest?

• A. Left atrium
• B. Right atrium
• C. Right ventricle
• D. Left ventricle

Correct answer: D

Rationale: The left ventricle is the largest and most powerful chamber of the heart. It receives oxygenated blood from the left atrium and pumps it out to the body through the aorta, providing the body's tissues with vital oxygen and nutrients. The left atrium primarily acts as a receiving chamber for oxygenated blood from the lungs. The right atrium receives deoxygenated blood from the body, while the right ventricle pumps this blood to the lungs for oxygenation. Therefore, the correct answer is the left ventricle, as it is responsible for pumping oxygenated blood to the body.

4. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

5. What is the function of the liver in digestion?

• A. To produce bile
• B. To store glucose
• C. To secrete digestive enzymes
• D. To detoxify harmful substances

Correct answer: A

Rationale: The liver's main role in digestion is to produce bile, a substance that aids in the breakdown and absorption of fats in the small intestine. Bile emulsifies fats, helping enzymes break them down into smaller molecules for easier absorption in the digestive tract. Therefore, the correct answer is A: 'To produce bile.' Storing glucose, secreting digestive enzymes, and detoxifying harmful substances are functions of the liver, but they are not primarily related to digestion.

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