Nursing Elites

1. Which system's primary function is protection, sensory reception, thermoregulation, osmoregulation, insulation, and vitamin D absorption?

• A. Nervous system
• B. Integumentary system
• C. Endocrine system
• D. Digestive system

Correct answer: B

Rationale: The correct answer is the Integumentary system (Option B). The integumentary system, which includes the skin, hair, nails, and glands, serves various functions such as providing protection against external factors, sensory reception, regulating body temperature (thermoregulation), maintaining water balance (osmoregulation), insulating the body, and absorbing vitamin D from sunlight. The nervous system (Option A) is responsible for transmitting signals throughout the body. The endocrine system (Option C) produces and secretes hormones to regulate bodily functions. The digestive system (Option D) is involved in breaking down food for nutrient absorption. Therefore, the primary functions described in the question align with those of the integumentary system, making it the correct choice.

2. Passive transport does not require energy input from the cell. Which of the following is an example of passive transport?

• A. Active transport of ions across a membrane
• B. Diffusion of small molecules across a concentration gradient
• C. Movement of large molecules using vesicles
• D. Endocytosis of particles into the cell

Correct answer: B

Rationale: Passive transport refers to the movement of molecules across a cell membrane without the input of energy. Diffusion of small molecules across a concentration gradient is a classic example of passive transport, as it occurs spontaneously from an area of high concentration to an area of low concentration. Active transport (option A) requires energy input in the form of ATP to move substances against their concentration gradient. Movement of large molecules using vesicles (option C) involves processes like endocytosis and exocytosis that require energy in the form of ATP. Endocytosis of particles into the cell (option D) is an active process that requires energy expenditure by the cell to engulf and internalize extracellular substances.

3. Where is the cervix located?

• A. Top of the uterus
• B. Top of the ovaries
• C. Bottom of the vagina
• D. Bottom of the uterus

Correct answer: D

Rationale: The cervix is located at the bottom of the uterus, where it opens into the vagina. It serves as the passageway between the uterus and the vagina, playing a crucial role in childbirth and menstrual flow. Choice A ('Top of the uterus') is incorrect because the cervix is not located at the top of the uterus. Choice B ('Top of the ovaries') is incorrect as the cervix is not located near the ovaries. Choice C ('Bottom of the vagina') is incorrect as the cervix is not located at the bottom of the vagina, but rather at the bottom of the uterus.

4. What is the role of the pancreas in digestion?

• A. To secrete bile
• B. To secrete digestive enzymes
• C. To absorb nutrients
• D. To transport waste

Correct answer: B

Rationale: The correct answer is B: 'To secrete digestive enzymes.' The pancreas plays a crucial role in digestion by secreting digestive enzymes that break down carbohydrates, proteins, and fats. This process aids in the breakdown of food into nutrients that can be absorbed by the small intestine. Choices A, C, and D are incorrect because the pancreas is not responsible for secreting bile (liver and gallbladder function), absorbing nutrients (small intestine function), or transporting waste (colon function) in the digestive system.

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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