Nursing Elites

1. What type of reaction is represented by the following equation: 2C₆H₁₄ + 19O₂ → 12CO + 14H₂O?

• A. Substitution reaction
• B. Acid-base reaction
• C. Enzyme reaction
• D. Combustion reaction

Correct answer: D

Rationale: The given chemical equation represents a combustion reaction. Combustion reactions involve the burning of a hydrocarbon (C₆H₁₄) in the presence of oxygen (O₂) to produce carbon monoxide (CO) and water (H₂O). Combustion reactions typically release heat and light energy. In this case, the reactants are a hydrocarbon and oxygen, resulting in the formation of carbon monoxide and water. Choices A, B, and C are incorrect because the reaction does not involve substitution, acid-base reactions, or enzyme catalysis. Combustion reactions are characterized by the rapid combination of a substance with oxygen, leading to the production of heat and light energy.

2. Which of the following structures is responsible for producing insulin?

• A. Liver
• B. Pancreas
• C. Gallbladder
• D. Spleen

Correct answer: B

Rationale: The correct answer is B: Pancreas. The pancreas is the organ responsible for producing insulin. Insulin is a hormone that helps regulate blood sugar levels by allowing cells to take in glucose from the bloodstream. The liver (choice A) plays a role in regulating blood sugar levels through glycogen storage and release but does not produce insulin. The gallbladder (choice C) stores bile produced by the liver to aid in digestion and has no direct involvement in insulin production. The spleen (choice D) is involved in immune function and blood storage but not in the production of insulin.

3. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

4. Which digestive enzyme is primarily responsible for breaking down proteins?

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

Correct answer: A

Rationale: The correct answer is A, Pepsin. Pepsin is primarily responsible for breaking down proteins in the stomach. It is produced in an inactive form called pepsinogen, which becomes activated by the acidic environment in the stomach. Pepsin functions by breaking down proteins into smaller peptides, which are further digested by other enzymes in the small intestine. Lipase is responsible for breaking down fats, amylase for carbohydrates, and maltase for converting maltose into glucose. Therefore, choices B, C, and D are incorrect as they are associated with breaking down fats, carbohydrates, and converting maltose, respectively, not proteins.

5. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels due to the presence of one-way valves within the vessels. These valves prevent the backflow of lymph and help propel the fluid forward as muscles contract and relax or due to breathing movements. Unlike blood circulation, the lymphatic system does not rely on the pumping action of the heart to move lymph. Choice A is incorrect because lymphatic circulation does not depend on the pumping action of the heart. Choice B is partly correct as muscle contractions and breathing movements do assist in propelling lymph, but the primary mechanism is the presence of one-way valves within the vessels, making choice C the most accurate answer. Choice D is incorrect as not all options listed contribute to how lymph moves through the lymphatic vessels.

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