Nursing Elites

1. 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.

2. What is the end product of glycolysis?

• A. Lactic acid
• B. ATP
• C. NADPH
• D. Pyruvic acid

Correct answer: D

Rationale: The correct answer is D: Pyruvic acid. The end product of glycolysis is pyruvic acid, not lactic acid, ATP, or NADPH. Pyruvic acid is a key intermediary in cellular respiration and can be further metabolized to produce energy through processes like the citric acid cycle and oxidative phosphorylation. Lactic acid is produced in the absence of oxygen during fermentation, ATP is a product of cellular respiration but not the direct end product of glycolysis, and NADPH is generated in other metabolic pathways such as the pentose phosphate pathway, not in glycolysis.

3. Which of the following is an example of aseptic technique?

• A. Washing hands with soap and water before surgery
• B. Coughing into your elbow
• C. Sharing a stethoscope without cleaning
• D. Leaving a wound dressing exposed

Correct answer: A

Rationale: Aseptic technique refers to practices that help prevent the introduction of harmful microorganisms into a sterile environment. Washing hands with soap and water before surgery is an essential component of aseptic technique as it helps reduce the number of microorganisms on the hands, decreasing the risk of introducing pathogens into the surgical site. Coughing into your elbow is a good hygiene practice to prevent the spread of respiratory infections but is not specifically related to aseptic technique. Sharing a stethoscope without cleaning can introduce microorganisms from one patient to another, compromising aseptic conditions. Leaving a wound dressing exposed can lead to contamination and infection, which is contrary to aseptic technique.

4. Which hormone is produced by the pancreas to lower blood sugar levels?

• A. Glucagon
• B. Insulin
• C. Adrenaline
• D. Melatonin

Correct answer: B

Rationale: The correct answer is B: Insulin. Insulin is produced by the pancreas and plays a crucial role in lowering blood sugar levels by promoting the uptake of glucose into cells for energy production or storage. Glucagon, which is also produced by the pancreas, functions to increase blood sugar levels by stimulating the release of stored glucose. Adrenaline, produced by the adrenal glands, is involved in the fight-or-flight response and does not directly regulate blood sugar levels. Melatonin, produced by the pineal gland, primarily regulates the sleep-wake cycle and is not involved in blood sugar level control.

5. Which of the following statements about the autonomic nervous system (ANS) is true?

• A. It controls involuntary functions
• B. It contains motor (efferent) neurons
• C. It contains sensory (afferent) neurons
• D. It contains both parasympathetic and sympathetic nerves

Correct answer: D

Rationale: The correct answer is D because the autonomic nervous system (ANS) is responsible for controlling involuntary functions and contains both parasympathetic and sympathetic nerves. Choices A and B are incorrect as they do not fully capture the role of the ANS. While the ANS does control involuntary functions, this is a broader concept than just the reflex arc. While the ANS does contain motor (efferent) neurons, it also includes sensory (afferent) neurons, which are not specifically mentioned in the question. Therefore, choice C is not fully accurate. Choice D provides the most accurate and comprehensive description of the autonomic nervous system by highlighting its components, the parasympathetic and sympathetic nerves, which work together to regulate various bodily functions.

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