Nursing Elites

1. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

2. What term describes the point where parallel rays of light converge or appear to diverge after passing through a lens or reflecting off a mirror?

• A. Aperture
• B. Focal length
• C. Refractive index
• D. Lens thickness

Correct answer: B

Rationale: The correct answer is 'Focal length.' Focal length is the term used to describe the point where parallel rays of light converge or appear to diverge after passing through a lens or reflecting off a mirror. It is a critical parameter in optics that determines the magnification and image formation in optical systems. Aperture refers to the opening through which light enters a camera or telescope, not the convergence point of light rays. Refractive index is a measure of how much light is bent, not the point where rays converge. Lens thickness is the physical dimension of a lens and does not indicate the convergence point of light rays. Therefore, 'Focal length' is the most appropriate choice in this context.

3. Identify the INCORRECT function of the liver.

• A. Bile production to aid digestion.
• B. Synthesis of blood proteins, such as albumin.
• C. Storage of glucose for energy regulation.
• D. Filtration of waste products from the blood.

Correct answer: D

Rationale: A) Correct - The liver produces bile, which aids in the digestion and absorption of fats in the small intestine. B) Correct - The liver is responsible for synthesizing blood proteins, including albumin, which helps maintain osmotic pressure in the blood. C) Correct - The liver stores glucose in the form of glycogen and helps regulate blood sugar levels by releasing glucose when needed. D) Incorrect - The liver does not filter waste products from the blood. Instead, the kidneys are responsible for filtering waste products from the blood and excreting them in the form of urine.

4. Which of the following is an example of a salt?

• A. Sodium hydroxide (NaOH)
• B. Hydrochloric acid (HCl)
• C. Sodium chloride (NaCl)
• D. Sulfuric acid (H₂SO₄)

Correct answer: C

Rationale: Sodium chloride (NaCl) is an example of a salt. Salts are ionic compounds formed by the reaction of an acid with a base. In this case, sodium chloride is formed by the reaction of sodium hydroxide (a base) with hydrochloric acid (an acid). Sodium hydroxide (NaOH), hydrochloric acid (HCl), and sulfuric acid (H₂SO₄) are not salts because they are not formed by the neutralization reaction of an acid and a base, which is a characteristic of salts.

5. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

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