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 in the brain regulates sleep and wakefulness?

• A. Hypothalamus
• B. Thalamus
• C. Pineal gland
• D. Cerebellum

Correct answer: C

Rationale: The pineal gland, located in the brain, is responsible for regulating sleep and wakefulness by secreting the hormone melatonin. Melatonin plays a crucial role in controlling the sleep-wake cycle, with higher levels at night inducing sleepiness. The hypothalamus (Choice A) regulates various physiological processes but is not primarily responsible for sleep-wake cycles. The thalamus (Choice B) is involved in relaying sensory information but not specifically in regulating sleep. The cerebellum (Choice D) plays a role in coordination and motor control rather than sleep regulation.

3. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

4. What is the function of the kidneys in the urinary system?

• A. To filter blood and remove waste
• B. To produce red blood cells
• C. To regulate blood pressure
• D. To absorb water

Correct answer: A

Rationale: The correct answer is A: 'To filter blood and remove waste.' The kidneys play a crucial role in the urinary system by filtering blood to remove waste products and excess fluids, which are then excreted as urine. This process helps maintain the body's internal balance by regulating electrolyte levels and controlling blood pressure. Choices B, C, and D are incorrect because the kidneys do not produce red blood cells (bone marrow does), regulate blood pressure directly (although they indirectly influence it through the renin-angiotensin-aldosterone system), or absorb water (they regulate water balance but do not absorb water).

5. Which mineral is important for the formation of red blood cells?

• A. Selenium
• B. Calcium
• C. Magnesium
• D. Copper

Correct answer: D

Rationale: Copper is crucial for the formation of red blood cells as it is a component of enzymes involved in the production of hemoglobin. Hemoglobin, the protein in red blood cells responsible for transporting oxygen throughout the body, requires copper for its synthesis. A deficiency in copper can result in anemia due to insufficient production of red blood cells. Selenium, calcium, and magnesium do not play a direct role in red blood cell formation, making them incorrect choices for this question.

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