Nursing Elites

1. At which of the following ages would ossification most likely take place to replace cartilage at the growth plate?

• A. 5
• B. 18
• C. 42
• D. 91

Correct answer: B

Rationale: Ossification, the process where cartilage is replaced by bone, typically occurs during adolescence, around the age of 18. This is when the growth plates in the bones close, and the bones stop growing in length, leading to the replacement of cartilage with bone tissue. Choice A (5) is incorrect because ossification primarily occurs during adolescence, not early childhood. Choice C (42) is incorrect as ossification is completed well before this age, usually during the late teens or early twenties. Choice D (91) is incorrect as ossification is a process that occurs earlier in life, typically during adolescence, and is not a process that occurs in advanced age.

2. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

3. Which vitamin is synthesized in the skin upon exposure to sunlight?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is synthesized in the skin upon exposure to sunlight. When the skin is exposed to sunlight, a form of cholesterol in the skin is converted into vitamin D3 (cholecalciferol) through a series of chemical reactions. Vitamin D plays a crucial role in calcium absorption and bone health. Choice A, Vitamin A, is not synthesized in the skin upon exposure to sunlight; it is obtained through dietary sources. Choice B, Vitamin C, is not synthesized in the skin upon exposure to sunlight either. Vitamin C is obtained through dietary sources like fruits and vegetables. Choice D, Vitamin E, is not synthesized in the skin upon exposure to sunlight. Vitamin E is a fat-soluble vitamin that acts as an antioxidant and is obtained through dietary sources like nuts, seeds, and vegetable oils.

4. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

5. Which of the following describes a vector quantity?

• A. Speed
• B. Distance
• C. Mass
• D. Velocity

Correct answer: D

Rationale: Velocity is a vector quantity as it encompasses both magnitude (speed) and direction. When describing the motion of an object, it is crucial to consider both aspects. Speed (option A) is a scalar quantity, representing only the magnitude of motion without indicating direction. Distance (option B) is also a scalar quantity, indicating the extent of an object's motion without considering direction. Mass (option C) is a scalar quantity, measuring the amount of matter in an object and not involving direction.

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