Nursing Elites

1. Surely, he thought, I can’t trust this enticing yet dubious offer, although I could use the opportunity more than I’d like to admit. 'Although' is which part of speech?

• A. Adverb
• B. Preposition
• C. Conjunction
• D. Adjective

Correct answer: C

Rationale: 'Although' is a conjunction because it connects two clauses in the sentence. In the given sentence, 'although' introduces a dependent clause ('although I could use the opportunity more than I’d like to admit') and connects it to the independent clause ('Surely, he thought, I can’t trust this enticing yet dubious offer'). This conjunction shows the contrast between the two ideas. Choices A, B, and D are incorrect because 'although' does not function as an adverb, preposition, or adjective in this context.

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. What is the name of a condition where the heart rate is 118 beats per minute (bpm)?

• A. Tachycardia
• B. Apnea
• C. Bradycardia
• D. Tachypnea

Correct answer: A

Rationale: The correct answer is A: Tachycardia. Tachycardia is a condition characterized by a heart rate that exceeds the normal resting rate, typically above 100 bpm. In this case, a heart rate of 118 bpm falls within the range of tachycardia. Apnea (choice B) refers to the temporary cessation of breathing, not related to heart rate. Bradycardia (choice C) is a condition of an abnormally slow heart rate, opposite of the given heart rate. Tachypnea (choice D) is an abnormally rapid breathing rate, not related to heart rate.

4. Which part of the digestive system is primarily responsible for absorbing nutrients?

• A. Stomach
• B. Small intestine
• C. Esophagus
• D. Large intestine

Correct answer: B

Rationale: The small intestine is the primary site for nutrient absorption in the digestive system. It is lined with specialized cells that facilitate the absorption of nutrients such as carbohydrates, proteins, fats, vitamins, and minerals into the bloodstream for distribution throughout the body. While the stomach plays a role in digestion by breaking down food with acid and enzymes, the actual absorption of nutrients occurs mainly in the small intestine. The esophagus is responsible for transporting food from the mouth to the stomach, but it does not absorb nutrients. The large intestine primarily absorbs water and electrolytes, not nutrients.

5. In the context of cholesterol levels, LDL cholesterol is often referred to as:

• A. HDL or "good" cholesterol.
• B. LDL or "bad" cholesterol.
• C. Total cholesterol, encompassing both LDL and HDL.
• D. VLDL, a type of triglyceride transported in the bloodstream.

Correct answer: B

Rationale: LDL cholesterol is often referred to as "bad" cholesterol because high levels of LDL can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke. LDL cholesterol is considered harmful as it contributes to the formation of plaque in blood vessels, whereas HDL cholesterol helps remove LDL from the arteries. Choice A is incorrect because HDL is known as "good" cholesterol, which helps remove LDL cholesterol from the bloodstream. Choice C is incorrect as it refers to total cholesterol, which includes LDL, HDL, and other lipids. Choice D is incorrect as VLDL is a different type of lipoprotein that carries triglycerides and is not specifically related to LDL cholesterol.

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