Nursing Elites

1. 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.

2. Which of the following terms means toward the front of the body?

• A. Superior
• B. Anterior
• C. Inferior
• D. Posterior

Correct answer: B

Rationale: The correct answer is B: Anterior. The term 'anterior' specifically refers to the front of the body. In anatomical terms, anterior is the opposite of posterior, which means toward the back of the body. Superior and inferior, choices A and C, respectively, refer to top and bottom directions, not front and back. Therefore, 'Anterior' is the most appropriate term for describing a position toward the front of the body.

3. What type of immunity does a vaccine provide? Choose only ONE best answer.

• A. Naturally acquired passive immunity
• B. Artificially acquired passive immunity
• C. Naturally acquired active immunity
• D. Artificially acquired active immunity

Correct answer: D

Rationale: The correct answer is D: Artificially acquired active immunity. Vaccines work by stimulating the immune system to produce an active response, leading to the development of immunity against specific pathogens. Choice A, naturally acquired passive immunity, is incorrect as it refers to the temporary immunity passed from mother to child, not through vaccines. Choice B, artificially acquired passive immunity, is also incorrect because passive immunity involves the transfer of pre-formed antibodies, not the stimulation of the immune system by vaccines. Choice C, naturally acquired active immunity, is incorrect since it is acquired through natural exposure to pathogens, not through vaccines.

4. Which of the following is NOT a recommended method for preventing healthcare-associated infections (HAIs)?

• A. Handwashing with soap and water
• B. Proper use of personal protective equipment (PPE)
• C. Disinfecting and reusing sterile medical devices
• D. Using single-use sterile medical devices

Correct answer: C

Rationale: Disinfecting and reusing sterile medical devices is not a recommended method for preventing healthcare-associated infections (HAIs). Reusing sterile medical devices can increase the risk of infections due to inadequate sterilization or potential damage to the devices during the reprocessing process. Proper sterilization and disposal of single-use medical devices are essential in preventing the transmission of infections in healthcare settings. A) Handwashing with soap and water is a crucial method for preventing HAIs as it helps to remove and reduce the number of pathogens on the hands of healthcare workers, preventing the spread of infections. B) Proper use of personal protective equipment (PPE) such as gloves, gowns, masks, and eye protection is important in preventing the transmission of infections between patients and healthcare workers. C) Disinfecting and reusing sterile medical devices is not a recommended practice as it can lead to the transmission of infections if the devices are not adequately sterilized. Using single-use sterile medical devices helps to ensure that each patient receives a sterile device, reducing the risk of infections.

5. What is the pathway of deoxygenated blood in our body?

• A. From the lungs to the left ventricle
• B. From the body to the right atrium, then to the right ventricle, and finally to the lungs
• C. From the left atrium to the body
• D. From the aorta to the right atrium

Correct answer: B

Rationale: The correct pathway of deoxygenated blood in our body involves blood returning from the body, entering the right atrium, then passing to the right ventricle, and eventually reaching the lungs for oxygenation. This sequence ensures that deoxygenated blood is pumped to the lungs, where it receives oxygen and releases carbon dioxide before circulating back to the body. Choices A, C, and D are incorrect because they do not follow the actual path of deoxygenated blood in the circulatory system.

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