Nursing Elites

1. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: The correct answer is D: Trypsin. Trypsin is an enzyme produced by the pancreas and secreted into the small intestine where it plays a key role in breaking down proteins into smaller peptides and amino acids. Pepsin is produced in the stomach and specifically acts on protein, not in the small intestine. Lipase is an enzyme that breaks down fats, not proteins. Amylase is an enzyme that breaks down carbohydrates, not proteins. Therefore, Trypsin is the enzyme responsible for breaking down proteins into amino acids in the small intestine.

2. A table shows the blood pressure readings for different age groups. How do you determine the patient with the highest systolic pressure?

• A. Find the largest number in the "systolic pressure" column.
• B. Compare the means (averages) of each age group.
• C. Add all systolic pressure values and divide by the total number of patients.
• D. Subtract the lowest systolic pressure from the highest.

Correct answer: A

Rationale: The best way is to compare the average systolic pressure values for each age group to identify the highest.

3. What happens to the concentration of hydrogen ions (\([H^+]\)) in a solution as the pH increases?

• A. Increases
• B. Decreases
• C. Remains constant
• D. Becomes neutral

Correct answer: B

Rationale: As the pH increases, the concentration of hydrogen ions decreases. The relationship is inversely proportional

4. Antidiuretic hormone (ADH) helps the kidneys regulate:

• A. Acid-base balance
• B. Blood pressure
• C. Urine output by controlling water reabsorption
• D. All of the above

Correct answer: C

Rationale: The correct answer is C: 'Urine output by controlling water reabsorption.' Antidiuretic hormone (ADH) is released by the pituitary gland and acts on the kidneys to regulate water reabsorption. When ADH levels are high, the kidneys reabsorb more water, leading to concentrated urine and decreased urine output. This helps maintain the body's water balance and prevent dehydration. While ADH indirectly influences blood pressure by regulating blood volume, its primary function is to control water balance, not acid-base balance. Therefore, the correct answer is C.

5. What is the role of DNA in evolution?

• A. It stores genetic information that can be passed on to offspring
• B. It allows for mutations that can introduce new variations
• C. It regulates the expression of genes that influence traits
• D. All of the above

Correct answer: D

Rationale: Rationale: A) DNA stores genetic information that is passed on from parents to offspring through the process of reproduction. This genetic information contains instructions for the development and functioning of an organism. B) DNA can undergo mutations, which are changes in the genetic sequence. These mutations can introduce new variations in the DNA, leading to genetic diversity within a population. C) DNA plays a crucial role in regulating the expression of genes. Gene expression determines which proteins are produced in an organism, influencing its traits and characteristics. D) Therefore, DNA is involved in all of the above processes, making it a key factor in evolution by driving genetic variation, inheritance, and gene expression.

6. What is the term for the reaction between an acid and a base to produce water and a salt?

• A. Combustion
• B. Neutralization
• C. Oxidation
• D. Decomposition

Correct answer: b

Rationale: Neutralization is the reaction between an acid and a base to produce water and a salt. The other choices do not accurately describe neutralization.

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