Nursing Elites

1. What property of a substance remains constant regardless of changes in its shape or size?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in its shape or size. Weight, density, and volume can all change depending on the conditions, but mass remains the same. For example, if you have a piece of clay and you shape it into a ball or flatten it into a pancake, the amount of clay (mass) will remain the same, even though the shape and size have changed. Weight is the force acting on an object due to gravity, which can vary depending on the gravitational pull. Density is the mass per unit volume, so it changes with variations in volume. Volume is the amount of space occupied by an object, which can change if the shape or size of the object is altered.

2. Which of the following is an example of a weak acid?

• A. Hydrochloric acid (HCl)
• B. Sulfuric acid (H2SO4)
• C. Acetic acid (CH3COOH)
• D. Nitric acid (HNO3)

Correct answer: C

Rationale: The correct answer is Acetic acid (CH3COOH) because it is a weak acid that only partially dissociates in water, resulting in a lower concentration of H+ ions compared to strong acids like hydrochloric acid (HCl), sulfuric acid (H2SO4), and nitric acid (HNO3) which completely dissociate in water. Weak acids do not fully ionize in water, leading to a lower concentration of H+ ions in solution. Hydrochloric acid, sulfuric acid, and nitric acid are strong acids that completely dissociate in water, producing a higher concentration of H+ ions. Therefore, they are not examples of weak acids.

3. What enzyme plays a key role in breaking down carbohydrates in the small intestine?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: Amylase is the enzyme responsible for breaking down carbohydrates in the small intestine. It specifically targets starches and sugars, breaking them down into smaller molecules like maltose and glucose that can be absorbed by the body. Pepsin is an enzyme that breaks down proteins in the stomach, not the small intestine. Lipase is responsible for breaking down fats, not carbohydrates. Trypsin is an enzyme that breaks down proteins in the small intestine, not carbohydrates.

4. What is the process of converting ammonia, a byproduct of protein digestion, into a less toxic form?

• A. Deamination
• B. Transamination
• C. Decarboxylation
• D. Hydrolysis

Correct answer: A

Rationale: Deamination is the correct answer. It is the process of removing an amino group from a molecule, like converting ammonia (NH3) into a less toxic form such as urea. Ammonia, a byproduct of protein digestion, must be converted into a less toxic form for excretion. Deamination is a crucial step that mainly occurs in the liver through the urea cycle. Transamination involves transferring an amino group from one molecule to another, not removing it as in deamination. Decarboxylation is the removal of a carboxyl group from a molecule, and hydrolysis is the breakdown of a compound by adding water.

5. What are the primary differences between systemic and pulmonary circulation?

• A. Systemic circulation is shorter and has lower blood pressure
• B. Pulmonary circulation is shorter and has higher blood pressure
• C. Systemic circulation is longer and has higher blood pressure
• D. Systemic circulation is shorter but has higher blood pressure

Correct answer: C

Rationale: The correct answer is C. Systemic circulation is longer as it involves carrying oxygenated blood throughout the body, requiring higher blood pressure. Pulmonary circulation is shorter and involves the flow of blood only through the lungs, hence having lower blood pressure. Therefore, systemic circulation is longer and has higher blood pressure compared to pulmonary circulation. Choice A is incorrect as systemic circulation is longer, not shorter, and has higher blood pressure. Choice B is incorrect as pulmonary circulation has lower blood pressure, not higher. Choice D is incorrect as systemic circulation is longer, not shorter, despite having higher blood pressure.

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