Nursing Elites

1. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: Trypsin is the correct enzyme that breaks down proteins into amino acids. It is produced by the pancreas and released into the small intestine to facilitate protein digestion. Pepsin is an enzyme from the stomach that also breaks down proteins, amylase targets carbohydrates, and lipase works on fats. In this context, since the question specifies the pancreas and small intestine, the correct answer is Trypsin as it is the pancreatic enzyme responsible for protein breakdown in the small intestine.

2. What are the three types of capillaries?

• A. Continuous, fenestrated, sinusoidal
• B. Continuous, discontinuous, fenestrated
• C. Sinusoidal, alveolar, continuous
• D. Continuous, fenestrated, vascular

Correct answer: A

Rationale: The correct answer is A: Continuous, fenestrated, sinusoidal. Capillaries are classified into three types based on their permeability: continuous (least permeable), fenestrated (moderately permeable), and sinusoidal (most permeable). Choices B, C, and D are incorrect because they do not represent the three main types of capillaries. Choice B includes 'discontinuous' which is not a recognized type. Choice C includes 'alveolar' which is not a type of capillary, and Choice D includes 'vascular' which is too broad and not specific to capillary classification.

3. Which of the following is NOT an element of the respiratory system?

• A. Ribs
• B. Trachea
• C. Diaphragm
• D. Alveoli

Correct answer: A

Rationale: The correct answer is A: Ribs. The ribs are part of the skeletal system, providing structure and protection to the thoracic cavity. The trachea, diaphragm, and alveoli are all essential components of the respiratory system. The trachea carries air to and from the lungs, the diaphragm aids in breathing by contracting and relaxing to change the volume of the thoracic cavity, and the alveoli are tiny air sacs where gas exchange occurs in the lungs. Therefore, ribs do not play a direct role in the respiratory process and are not considered a part of the respiratory system.

4. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

5. What is the main function of the kidneys?

• A. To filter waste products from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To produce hormones that help control blood sugar levels

Correct answer: A

Rationale: The main function of the kidneys is to filter waste products, excess ions, and water from the bloodstream to form urine, which is then excreted from the body. This process helps maintain the body's internal environment by regulating the balance of electrolytes, fluid volume, and pH levels. While the kidneys do produce urine as a result of filtering the blood, their primary function is to filter waste products rather than solely producing urine. Although the kidneys play a role in regulating blood pressure by controlling blood volume and electrolyte concentration, their main function is waste filtration. While the kidneys do produce hormones like erythropoietin and renin that regulate physiological processes, such as red blood cell production and blood pressure, the main role of the kidneys is waste filtration.

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