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 term refers to the act of inhaling foreign objects into the airway?

• A. Expiration
• B. Respiration
• C. Aspiration
• D. Inhalation

Correct answer: C

Rationale: Among the options provided, aspiration is the term that specifically refers to the act of inhaling foreign objects into the airway. Expiration refers to breathing out, respiration is the overall process of gas exchange in the body, and inhalation is the act of breathing in air or other substances into the lungs. Therefore, the correct answer is C, aspiration. It is crucial to understand these terms in the context of airway management and respiratory care to ensure proper identification and treatment of related conditions.

3. Which of the following are functions of the urinary system?

• A. I, II, and III
• B. II and III
• C. II, III, and IV
• D. All of the above

Correct answer: D

Rationale: The corrected answer is D, 'All of the above.' The urinary system performs multiple essential functions to maintain the body's internal environment. Synthesizing calcitriol and secreting erythropoietin are crucial roles of the kidneys. Regulating the concentrations of sodium, potassium, chloride, calcium, and other ions helps in maintaining the electrolyte balance. Reabsorbing or secreting hydrogen ions and bicarbonate is vital for managing the body's acid-base balance. Furthermore, the urinary system is involved in detecting reductions in blood volume and pressure, aiding in the maintenance of blood pressure levels and fluid balance in the body.

4. What is the maximum volume of air that the lungs can hold after a full forced inhalation?

• A. Inspiratory capacity
• B. Tidal volume
• C. Total lung capacity
• D. Vital capacity

Correct answer: C

Rationale: Total lung capacity is the correct term for the maximum volume of air that the lungs can hold after a full forced inhalation. It represents the sum of all lung volumes, including tidal volume, inspiratory reserve volume, and expiratory reserve volume. Inspiratory capacity refers to the maximum volume of air inspired from the end-expiratory level. Tidal volume is the volume of air inspired or expired during normal breathing. Vital capacity is the maximum volume of air that can be exhaled after a maximum inhalation, not the total volume the lungs can hold.

5. Muscles that work in opposition to each other, producing opposing movements, are called:

• A. Synergists
• B. Antagonists
• C. Agonists
• D. Fixators

Correct answer: B

Rationale: Antagonist muscles are pairs of muscles that work in opposition to each other, producing opposing movements. When one muscle contracts, the other relaxes to allow the movement to occur smoothly. Synergists are muscles that work together to create a movement, not in opposition. Agonists are muscles primarily responsible for producing a specific movement, not opposing each other. Fixators are muscles that stabilize joints to allow other movements to take place, providing a stable base for muscle actions but do not produce opposing movements.

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