Nursing Elites

1. Which organ is responsible for filtering waste from the blood?

• A. Kidneys
• B. Pancreas
• C. Liver
• D. Heart

Correct answer: A

Rationale: The correct answer is A: Kidneys. The kidneys are responsible for filtering waste products from the blood, maintaining fluid and electrolyte balance. The pancreas aids in digestion and regulates blood sugar levels. The liver processes nutrients, detoxifies chemicals, and produces bile. The heart is responsible for pumping blood throughout the body. Choice B, Pancreas, is incorrect because the pancreas plays a role in digestion and blood sugar regulation, not in filtering waste from the blood. Choice C, Liver, is incorrect as the liver processes nutrients, detoxifies chemicals, and produces bile, but it is not primarily responsible for filtering waste from the blood. Choice D, Heart, is incorrect as the heart's main function is pumping blood throughout the body, not filtering waste from the blood.

2. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

3. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

4. Where is oxygen exchanged between blood and tissues?

• A. capillaries
• B. veins
• C. ventricles
• D. arteries

Correct answer: A

Rationale: Oxygen is exchanged between blood and tissues primarily at the capillaries. Capillaries are the smallest blood vessels where the exchange of oxygen, nutrients, and waste products occurs between the blood and the tissues. This exchange process is crucial for delivering oxygen to the body's cells and eliminating carbon dioxide waste. Veins carry blood back to the heart, arteries carry blood away from the heart, and ventricles are the lower chambers of the heart responsible for pumping blood. Therefore, capillaries are the correct answer for where oxygen is exchanged between blood and tissues.

5. What is the function of the pericardium, the sac surrounding the heart?

• A. To generate electrical impulses for heart contraction
• B. To transport blood throughout the body
• C. To provide lubrication for heart movement
• D. To protect the heart and anchor it in place

Correct answer: C

Rationale: The pericardium is a double-walled sac that surrounds the heart and contains a small amount of fluid to provide lubrication for the movement of the heart within the chest cavity. It helps reduce friction as the heart beats and moves. Choice A is incorrect because the generation of electrical impulses for heart contraction is primarily the function of the heart's specialized conduction system. Choice B is incorrect as the pericardium is not involved in the transportation of blood throughout the body. Choice D is also incorrect as while the pericardium does protect the heart, its primary function is to provide lubrication and reduce friction.

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