Nursing Elites

1. A car brakes to a stop on a level road. Which of the following forces does NOT do work on the car?

• A. The braking force applied by the wheels
• B. The normal force from the road
• C. The gravitational force on the car
• D. The friction force between the tires and the road

Correct answer: B

Rationale: The normal force from the road does not do work on the car because it is perpendicular to the direction of motion. Work is defined as force applied in the direction of motion, so the normal force, which acts perpendicular to the motion of the car, does not contribute to the work done on the car. The braking force applied by the wheels, the gravitational force on the car, and the friction force between the tires and the road all act in the direction of motion and contribute to the work done on the car. In this scenario, the normal force is supporting the weight of the car and keeping it from sinking into the road, but it does not transfer energy to the car as it moves.

2. Where is fat primarily digested, and where is protein primarily digested?

• A. Mouth; stomach
• B. Stomach; small intestine
• C. Small intestine; small intestine
• D. Small intestine; stomach

Correct answer: B

Rationale: The correct answer is B. Fats are primarily digested in the small intestine, where bile from the liver emulsifies fats for enzymatic digestion. The small intestine is where most of the absorption of nutrients occurs. Proteins, on the other hand, are mainly digested in the stomach by the enzyme pepsin under acidic conditions. The stomach's acidic environment helps denature proteins, making them more accessible to pepsin for digestion. Choices A, C, and D are incorrect because they do not accurately reflect the primary sites of fat and protein digestion in the human digestive system.

3. How are the motor pathways of the ANS arranged?

• A. Single neuron from CNS to target organ
• B. Two neurons, a pre-ganglionic and post-ganglionic neuron
• C. Multiple neurons from CNS to target organ
• D. Single neuron from CNS to peripheral ganglia

Correct answer: B

Rationale: The correct answer is B. The motor pathways of the autonomic nervous system (ANS) are organized with two neurons: a pre-ganglionic neuron that transmits the signal from the central nervous system (CNS) to a ganglion, and a post-ganglionic neuron that conveys the signal from the ganglion to the target organ. This dual-neuron pathway enables the integration and modulation of signals before reaching the target organ, allowing for a more sophisticated and adaptable control system. Choice A is incorrect as it describes a single neuron pathway, which is not characteristic of ANS motor pathways. Choice C is incorrect as it suggests multiple neurons from the CNS to the target organ, which is not the typical arrangement. Choice D is incorrect as it describes a single neuron pathway from the CNS to peripheral ganglia, which does not account for the ganglionic transmission in ANS motor pathways.

4. Bile, stored in the gallbladder, aids in the digestion of which nutrient?

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: C

Rationale: Bile, produced by the liver and stored in the gallbladder, aids in the digestion of fats. Bile emulsifies fats, breaking them down into smaller droplets to increase the efficiency of fat digestion by enzymes like lipase. This process enhances the absorption of fats in the small intestine, facilitating the body's utilization of essential fatty acids and fat-soluble vitamins. Carbohydrates are primarily broken down by enzymes like amylase, proteins by pepsin and other proteases, and vitamins have varying digestion and absorption processes, which do not involve bile. Therefore, the correct answer is fats as they are directly influenced by bile in the digestion process.

5. As a nursing student triaging a patient, which of the following is an example of quantitative data you can gather?

• A. The patient says he feels pain.
• B. The patient says he has stabbing pain.
• C. The patient's temperature is 101.7°F.
• D. The patient reports that he had a fever yesterday.

Correct answer: C

Rationale: The corrected choice C, 'The patient's temperature is 101.7°F,' is an example of quantitative data because it provides a specific numerical value that can be measured. Quantitative data involves measurable and numerical information, making it crucial for assessing a patient's condition objectively. Choices A and B are subjective statements based on the patient's perception of pain and its description, which are qualitative data and may vary between individuals. Choice D provides historical information about a fever, which is not a current measurable value and does not constitute quantitative data for immediate assessment.

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