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. Scoliosis is a condition characterized by abnormal lateral curvature of the spine. Which part of the spine is most commonly affected?

• A. Cervical spine (neck)
• B. Thoracic spine (upper back)
• C. Lumbar spine (lower back)
• D. All of the above

Correct answer: B

Rationale: Scoliosis most commonly affects the thoracic spine, which is the upper back region. While scoliosis can potentially affect any part of the spine, the thoracic spine is the most frequently involved area. This region is more commonly affected due to the natural structural curves of the spine and the biomechanics of the thoracic area. The cervical spine (neck) and lumbar spine (lower back) can also be affected by scoliosis, but the thoracic spine is the primary area of involvement in most cases. Therefore, the correct answer is B, as it is the part of the spine most commonly affected by scoliosis.

3. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

4. What type of bond holds water molecules together?

• A. Covalent bond
• B. Hydrogen bond
• C. Ionic bond
• D. Peptide bond

Correct answer: B

Rationale: The correct answer is B: Hydrogen bond. Hydrogen bonds are responsible for holding water molecules together. In a water molecule, the oxygen atom is slightly negative, and the hydrogen atoms are slightly positive, creating a partial positive and negative charge. This polarity allows hydrogen bonds to form between adjacent water molecules. Covalent bonds involve the sharing of electrons, ionic bonds involve transfer of electrons between ions, and peptide bonds are specific to linking amino acids in proteins, which are not relevant to water molecule interactions.

5. In a study evaluating which type of road salt deices a road most quickly, what is the independent variable?

• A. Deicing time period
• B. Road used for deicing
• C. Type of road salt used
• D. Amount of road salt used

Correct answer: C

Rationale: The correct answer is C, 'Type of road salt used.' In an experiment, the independent variable is the one manipulated by the researcher to observe its impact on the dependent variable. In this study, the researchers are altering the type of road salt used to determine its influence on the deicing speed, thus making it the independent variable. The other choices are not the independent variable as they are not deliberately manipulated in the experiment: A - 'Deicing time period' is an outcome measure dependent on the type of salt used; B - 'Road used for deicing' is not controlled or manipulated; D - 'Amount of road salt used' would be a potential confounding variable rather than the independent variable as it could affect the outcome along with the type of salt.

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