Nursing Elites

1. 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.

2. During normal breathing, which muscle is the primary driver of inhalation by contracting and flattening to increase the volume of the thoracic cavity?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation during normal breathing. When it contracts, it flattens, increasing the volume of the thoracic cavity and creating a negative pressure that allows air to flow into the lungs. Intercostal muscles also play a role in expanding the chest cavity during inhalation, but the diaphragm is the main driver of the process. Abdominal muscles are primarily involved in exhalation by pushing the diaphragm upward to expel air from the lungs. Pectoral muscles are involved in movements of the arms and shoulders, not in breathing, making them incorrect choices for this question.

3. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

4. Which type of tissue connects muscles to bones?

• A. Ligaments
• B. Tendons
• C. Cartilage
• D. Muscles

Correct answer: B

Rationale: The correct answer is B: Tendons. Tendons connect muscles to bones, not bones to muscles. They play a crucial role in transmitting the force generated by muscles to move bones, enabling movement. Ligaments (choice A) connect bones to bones, providing stability to joints. Cartilage (choice C) is a connective tissue found in joints, providing cushioning and flexibility. Muscles (choice D) are responsible for generating force through contraction but do not directly connect muscles to bones.

5. What is the primary source of energy entering most ecosystems?

• A. Chemical energy stored in bonds
• B. Thermal energy from the Earth's core
• C. Light energy from the sun
• D. Kinetic energy from wind and water

Correct answer: C

Rationale: In most ecosystems, the primary source of energy is sunlight. This energy is captured by plants and other photosynthetic organisms through the process of photosynthesis. These organisms convert light energy into chemical energy stored in the bonds of organic molecules, such as glucose. This stored chemical energy is then passed on to other organisms in the ecosystem through the food chain, making sunlight the fundamental source of energy for most ecosystems. Thermal energy from the Earth's core (option B) is not a primary source of energy for ecosystems, as it is not readily accessible to most organisms. Kinetic energy from wind and water (option D) can play a role in some ecosystems, but it is not the primary source of energy. Chemical energy stored in bonds (option A) is a form of energy that is ultimately derived from the sun through photosynthesis, making it a product of the primary energy source rather than the primary source itself.

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