Nursing Elites

1. What two factors enable some intercellular chemical signals to diffuse across cell membranes and bind to intracellular receptors?

• A. They are small and soluble.
• B. They are large and soluble.
• C. They are small and insoluble.
• D. They are large and insoluble.

Correct answer: A

Rationale: The correct answer is A: 'They are small and soluble.' Small and soluble molecules can easily pass through cell membranes and bind to intracellular receptors. Being small allows them to pass through the membrane, while being soluble enables them to dissolve in the aqueous environment inside the cell. Choice B is incorrect because large molecules typically cannot pass through the cell membrane easily. Choices C and D are incorrect because insoluble molecules would not dissolve in the aqueous environment inside the cell, hindering their ability to bind to intracellular receptors.

2. The pancreas releases a number of digestive enzymes into the small intestine. Which of the following enzymes is NOT produced by the pancreas?

• A. Trypsin (protein digestion)
• B. Amylase (carbohydrate digestion)
• C. Lipase (fat digestion)
• D. Lactase (sugar digestion)

Correct answer: D

Rationale: Lactase is an enzyme responsible for breaking down lactose, a sugar found in dairy products, and it is produced by the small intestine, not the pancreas. The pancreas produces enzymes like trypsin for protein digestion, amylase for carbohydrate digestion, and lipase for fat digestion. Therefore, the correct answer is D. Choices A, B, and C are incorrect because trypsin, amylase, and lipase are indeed enzymes produced by the pancreas for the digestion of proteins, carbohydrates, and fats, respectively.

3. Which of the following indicates the body's draining of clear fluid throughout the body to protect it from infection?

• A. Pulmonary Loop
• B. Systemic Loop
• C. Lymphatic System
• D. Immune System

Correct answer: C

Rationale: The correct answer is C, the Lymphatic System. The lymphatic system is responsible for draining clear fluid, known as lymph, throughout the body to protect it from infection. The other choices are incorrect because the pulmonary loop specifically refers to circulation between the heart and lungs, the systemic loop refers to circulation between the heart and the rest of the body, and the immune system is responsible for fighting infections and diseases rather than draining clear fluid.

4. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

5. Which structure in the skin is responsible for producing hair?

• A. Sudoriferous gland
• B. Sebaceous gland
• C. Melanocyte
• D. Hair follicle

Correct answer: D

Rationale: The correct answer is D: Hair follicle. Hair follicles are structures in the skin responsible for producing hair. They are specialized structures that contain the hair root and the bulb, where hair growth originates. Sudoriferous glands produce sweat, sebaceous glands produce sebum, and melanocytes are responsible for producing melanin, the pigment that gives hair and skin their color. Choices A, B, and C are incorrect because sudoriferous glands produce sweat, sebaceous glands produce sebum, and melanocytes produce melanin, respectively, but they are not responsible for producing hair.

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