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. How is work defined in terms of force and displacement?

• A. Work is the product of force and displacement in any direction
• B. Work is done only when the displacement is vertical
• C. Work is done only when the force and displacement are perpendicular
• D. Work is the product of force and displacement in the direction of the force

Correct answer: D

Rationale: Work is defined as the product of the force applied on an object and the displacement of the object in the direction of the force. This means that work is only done when the force and displacement are in the same direction. If the force and displacement are not in the same direction, only the component of the force in the direction of the displacement contributes to the work done. Therefore, choice D correctly defines work in terms of force and displacement. Choices A, B, and C are incorrect because work is specifically calculated based on the force and displacement in the direction of the force, not in any direction, only when the displacement is vertical, or when the force and displacement are perpendicular.

3. Where does most of the chemical digestion and absorption of nutrients occur?

• A. Mouth
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: C

Rationale: The small intestine is the primary site for both chemical digestion and absorption of nutrients in the digestive system. The lining of the small intestine is equipped with villi and microvilli, which significantly increase the surface area available for absorption. Enzymes from the pancreas and bile from the liver play crucial roles in further breaking down food into absorbable molecules that can pass through the intestinal wall into the bloodstream. While the stomach assists in mechanical breakdown and initial protein digestion, it is not the main site of nutrient absorption. The large intestine, on the other hand, mainly absorbs water and electrolytes from undigested food particles. The mouth aids in initial mechanical breakdown and some carbohydrate digestion, but the majority of nutrient absorption occurs in the small intestine, making it the correct answer.

4. Which blood vessels carry deoxygenated blood from the body back to the right atrium of the heart?

• A. Arteries
• B. Veins
• C. Capillaries
• D. Venules

Correct answer: B

Rationale: Veins are the blood vessels that carry deoxygenated blood from the body back to the heart. Arteries transport oxygenated blood away from the heart. Capillaries are the smallest blood vessels where gas exchange occurs between blood and tissues. Venules are small veins that connect capillaries to larger veins, but they do not directly carry deoxygenated blood back to the heart.

5. What does the innate immune system provide?

• A. Nonspecific, immediate defense against pathogens
• B. Specific, long-term immune response through memory cells
• C. Both (a) and (b)
• D. Neither (a) nor (b)

Correct answer: A

Rationale: The correct answer is A. The innate immune system provides nonspecific, immediate defense against pathogens. It is the body's first line of defense in responding to infections and does not involve memory cells or specific long-term immune responses like the adaptive immune system. Choice B is incorrect because specific, long-term immune responses through memory cells are characteristics of the adaptive immune system, not the innate immune system. Choice C is incorrect because the innate immune system does not provide specific, long-term immune responses. Choice D is incorrect because the innate immune system does provide an immediate defense against pathogens.

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