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 is NOT a function of the muscular system?

• A. Movement
• B. Maintaining posture
• C. Generating heat
• D. Regulating blood sugar levels

Correct answer: D

Rationale: The muscular system is responsible for movement, maintaining posture, and generating heat. Regulating blood sugar levels is not a function of the muscular system. This function is primarily carried out by the endocrine system, specifically the pancreas and its production of insulin and glucagon. Choices A, B, and C are all correct functions of the muscular system as they involve the contraction and relaxation of muscles to produce movement, support the body's structure, and generate heat as a byproduct of muscle activity.

3. The adrenal glands are part of the

• A. immune system
• B. endocrine system
• C. lymphatic system
• D. respiratory system

Correct answer: B

Rationale: The correct answer is B: endocrine system. The adrenal glands are part of the endocrine system. These small, triangular-shaped glands are located on top of each kidney and are responsible for producing hormones such as adrenaline, cortisol, and aldosterone. These hormones play a vital role in regulating various body functions, including metabolism, immune response, and stress response. Choices A, C, and D are incorrect because the adrenal glands are not part of the immune system, lymphatic system, or respiratory system. While the immune system is involved in protecting the body from infections and diseases, the lymphatic system helps in maintaining fluid balance and immune function, and the respiratory system is responsible for breathing and gas exchange in the body.

4. What potential consequences can chromosomal nondisjunction have on offspring?

• A. Down syndrome, caused by an extra copy of chromosome 21.
• B. Turner syndrome, characterized by the absence of one X chromosome in females.
• C. Klinefelter syndrome, featuring one or more extra X chromosomes in males.
• D. All of the above.

Correct answer: D

Rationale: - Chromosomal nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division, leading to an abnormal number of chromosomes in the resulting cells. - Down syndrome is caused by an extra copy of chromosome 21, resulting from nondisjunction during meiosis. Individuals with Down syndrome have three copies of chromosome 21 instead of the usual two. - Turner syndrome is characterized by the absence of one X chromosome in females, leading to a variety of physical and developmental features. - Klinefelter syndrome features one or more extra X chromosomes in males, typically resulting in infertility and other physical characteristics. Therefore, chromosomal nondisjunction can lead to various genetic disorders such as Down syndrome, Turner syndrome, and Klinefelter syndrome, making option D the correct answer.

5. Which part of the brainstem is responsible for controlling vital functions such as heart rate, blood pressure, and breathing?

• A. Medulla oblongata
• B. Pons
• C. Midbrain
• D. Cerebellum

Correct answer: A

Rationale: The medulla oblongata is the correct answer. It is responsible for controlling vital functions such as heart rate, blood pressure, and breathing. This part of the brainstem contains centers that regulate these essential autonomic functions to maintain homeostasis in the body. The pons and midbrain are also parts of the brainstem, but they are not primarily responsible for controlling these vital functions. The cerebellum, on the other hand, is involved in coordination and balance, not in regulating vital functions like heart rate, blood pressure, and breathing.

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