Nursing Elites

1. Why might certain young people be underweight?

• A. They are growing in height faster than they are gaining weight.
• B. They eat little protein and too much fat and sugar.
• C. They eat several meals a day and fail to exercise enough.
• D. They seldom eat a meal that contains foods from all food groups.

Correct answer: A

Rationale: Certain young people might be underweight because they are growing in height faster than they are gaining weight. During periods of rapid growth, the body's energy requirements are primarily directed towards height growth rather than weight gain, resulting in some individuals being underweight despite consuming sufficient calories. Choice B is incorrect because the question focuses on reasons related to growth rather than diet composition. Choice C is incorrect as it suggests overeating rather than the specific growth-related issue of height surpassing weight gain. Choice D is incorrect as it addresses nutritional variety rather than the growth dynamics affecting weight.

2. Which structure is responsible for carrying oxygen to the cells?

• A. Hemoglobin
• B. Plasma
• C. Platelets
• D. Red blood cells

Correct answer: A

Rationale: Hemoglobin, located in red blood cells, is responsible for binding to oxygen in the lungs and transporting it to tissues throughout the body. Red blood cells contain hemoglobin, making them the primary carrier of oxygen to cells. Hemoglobin is the correct answer because it is the protein within red blood cells that directly binds to oxygen for transport. Plasma is the liquid component of blood and does not carry oxygen. Platelets are responsible for blood clotting and have no role in oxygen transport. While red blood cells do carry oxygen, it is specifically the hemoglobin within them that performs this function.

3. Which bones do the rotator cuff help to stabilize?

• A. Radius and humerus
• B. Scapula and clavicle
• C. Humerus and scapula
• D. Ulna and radius

Correct answer: C

Rationale: The correct answer is C: Humerus and scapula. The rotator cuff is a group of muscles and tendons that help stabilize the shoulder joint. Specifically, the rotator cuff muscles help to stabilize the head of the humerus (the upper arm bone) within the shallow socket of the scapula (shoulder blade). This stabilizing action is crucial for maintaining shoulder joint function and preventing injuries. Choices A, B, and D are incorrect because the rotator cuff primarily stabilizes the humerus and scapula, not the radius, ulna, or clavicle.

4. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

• A. Pleura
• B. Trachea
• C. Bronchioles
• D. Alveoli

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

5. 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.

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