Nursing Elites

1. Which type of nutrients require minimal digestion before absorption?

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: D

Rationale: A) Carbohydrates: Carbohydrates require digestion by enzymes in the mouth, stomach, and small intestine before they can be broken down into simple sugars for absorption. B) Proteins: Proteins need to be broken down into amino acids by stomach acid and digestive enzymes in the stomach and small intestine before they can be absorbed. C) Fats: Fats require bile from the gallbladder to emulsify them into smaller droplets for enzymes to break them down into fatty acids and glycerol for absorption. D) Vitamins: Vitamins are organic compounds that are already in a form that can be readily absorbed by the body without extensive digestion. They are absorbed directly into the bloodstream from the small intestine and do not require significant breakdown before absorption.

2. The 'fight-or-flight' response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

3. What type of immunity is acquired through vaccination?

• A. Passive natural immunity
• B. Active natural immunity
• C. Active artificial immunity
• D. Passive artificial immunity

Correct answer: C

Rationale: The correct answer is C, Active artificial immunity. Vaccination introduces a weakened or inactive form of the pathogen to stimulate the immune system, leading to the development of immunity. Active artificial immunity is the result of deliberate exposure to an antigen, such as through vaccination, to produce an immune response. Passive immunity, like receiving pre-formed antibodies, does not involve the immune system's activation. Natural immunity is typically acquired through exposure to the pathogen itself, not through vaccination.

4. Which of the following organs does not belong with the others?

• A. Thyroid gland
• B. Stomach
• C. Intestines
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B - Stomach. The stomach is primarily involved in the digestive system, breaking down food through digestion. In contrast, the thyroid gland, intestines, and pancreas are part of the endocrine system or digestive system, involved in hormone production, nutrient absorption, and digestion. Therefore, the stomach stands out as the odd one in this group as it is the only organ specifically dedicated to digestion, while the others have dual roles or different primary functions.

5. 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.

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