Nursing Elites

1. Why is the lining of the stomach covered with rugae?

• A. Rugae increase the output of gastric juices.
• B. Rugae increase the surface area of the stomach.
• C. Rugae increase the permeability of the stomach walls.
• D. Rugae increase the types of nutrients that can diffuse.

Correct answer: B

Rationale: Rugae are folds in the stomach lining that increase its surface area. This increased surface area allows for more efficient digestion and absorption of nutrients in the stomach. Choice A is incorrect because rugae do not directly affect the output of gastric juices. Choice C is incorrect because rugae do not impact the permeability of the stomach walls. Choice D is incorrect because rugae do not influence the types of nutrients that can diffuse.

2. Which organelle is responsible for breaking down macromolecules, such as proteins, carbohydrates, and lipids, into their smaller building blocks?

• A. Golgi apparatus
• B. Mitochondria
• C. Lysosomes
• D. Endoplasmic reticulum

Correct answer: C

Rationale: Lysosomes are membrane-bound organelles containing digestive enzymes that break down macromolecules, such as proteins, carbohydrates, and lipids, into their smaller building blocks. These enzymes help in the process of intracellular digestion and recycling of cellular components. The Golgi apparatus is involved in processing and packaging proteins for secretion or for use within the cell. Mitochondria are responsible for producing energy in the form of ATP through cellular respiration. The endoplasmic reticulum is involved in protein synthesis and lipid metabolism. Therefore, the correct answer is 'C: Lysosomes' as they specifically function in the breakdown of macromolecules into smaller components, distinguishing them from the other organelles mentioned.

3. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folds and coils of the protein's polypeptide backbone. This level of structure is characterized by the formation of alpha helices and beta sheets, which are stabilized by hydrogen bonds between amino acids along the polypeptide chain. Choice A, Primary, refers to the linear sequence of amino acids in the protein. Choice C, Tertiary, involves the 3D folding of the entire polypeptide chain. Choice D, Quaternary, pertains to the arrangement of multiple polypeptide subunits in a protein complex.

4. Which of the following is a type of white blood cell that plays a key role in adaptive immunity by seeking out, attacking, and destroying targeted pathogens?

• A. memory B cells
• B. neutrophils
• C. antibodies
• D. cytotoxic T cells

Correct answer: D

Rationale: The correct answer is cytotoxic T cells. Cytotoxic T cells are a type of white blood cell that is crucial in adaptive immunity. They are specialized in recognizing and destroying infected or abnormal cells in the body. Neutrophils are primarily involved in innate immunity, providing rapid response to infections. Antibodies are proteins produced by B cells and are essential in specific immune responses, but they do not directly attack pathogens. Memory B cells are part of the adaptive immune response, responsible for mounting a quicker and stronger response upon re-exposure to a pathogen. However, they do not directly seek out and destroy pathogens like cytotoxic T cells do.

5. What are the structural and functional units responsible for creating and transporting urine, located in the cortex of the kidney?

• A. Glomerulus
• B. Nephrons
• C. Loops of Henle
• D. Distal tubules

Correct answer: B

Rationale: The correct answer is 'Nephrons.' Nephrons are the structural and functional units of the kidneys responsible for creating and transporting urine. Each kidney contains thousands of nephrons located in the cortex and medulla. The nephron consists of the renal corpuscle, which includes the glomerulus, and the renal tubule, which consists of the proximal tubule, loops of Henle, and distal tubule. While the glomerulus, loops of Henle, and distal tubules are all parts of the nephron, the nephrons as a whole are specifically responsible for creating and transporting urine.

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