Nursing Elites

1. Which of the following structures of the gastrointestinal system absorbs iron and bile salts?

• A. Ileum
• B. Jejunum
• C. Colon
• D. Duodenum

Correct answer: A

Rationale: The correct answer is the Ileum. The Ileum is the final section of the small intestine where the absorption of key nutrients such as iron and bile salts occurs. The Jejunum mainly absorbs nutrients like carbohydrates and proteins, while the Duodenum primarily facilitates the absorption of minerals and vitamins. The Colon's main function is to absorb water and electrolytes, not iron and bile salts. Therefore, choices B, C, and D are incorrect.

2. Lowering the hand by straightening the elbow affects which of the following muscles?

• A. biceps brachii
• B. triceps brachii
• C. brachialis
• D. brachioradialis

Correct answer: B

Rationale: Lowering the hand by straightening the elbow is the action of extending the forearm, which is primarily done by the triceps brachii muscle. The triceps brachii is the main extensor muscle of the elbow joint. The biceps brachii is responsible for flexing the elbow, not extending it, making it an incorrect choice. Brachialis is a strong elbow flexor, and brachioradialis helps in flexing the elbow and pronating the forearm, so they are not the primary muscles involved in straightening the elbow.

3. Which of the following is produced by the prostate gland?

• A. testosterone
• B. fluid to lubricate the head of the penis
• C. substance to enhance sperm mobility
• D. Gonadotrophin-releasing hormone

Correct answer: B

Rationale: The correct answer is 'fluid to lubricate the head of the penis.' The prostate gland produces a milky fluid that makes up part of the seminal fluid, which helps to nourish and transport sperm. Testosterone is produced mainly by the testes, not the prostate gland. While the prostate gland does contribute to sperm mobility, its primary function is to produce the fluid that lubricates the penis during ejaculation. Gonadotrophin-releasing hormone is produced by the hypothalamus and regulates the release of hormones from the pituitary gland.

4. Which of the following electrolytes plays an essential role in the clotting of blood?

• A. sodium
• B. magnesium
• C. calcium
• D. potassium

Correct answer: C

Rationale: Calcium plays an essential role in the clotting of blood by being involved in several steps of the coagulation process. It is necessary for the conversion of prothrombin to thrombin, which is a crucial step in forming blood clots. Sodium, magnesium, and potassium do not directly participate in the clotting cascade and are not associated with the coagulation process. Therefore, the correct answer is calcium.

5. Which part of the nephron is closest to the collecting duct?

• A. Distal convoluted tubule (DCT)
• B. Bowman's Capsule
• C. Afferent Arteriole
• D. Proximal Convoluted Tubule (PCT)

Correct answer: A

Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.

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