Nursing Elites

1. 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.

2. What is the main function of the gallbladder?

• A. To store and concentrate bile
• B. To produce digestive enzymes
• C. To absorb nutrients
• D. To neutralize stomach acid

Correct answer: A

Rationale: The gallbladder is a small organ located beneath the liver that plays a crucial role in the digestive system. Its main function is to store and concentrate bile, a digestive fluid produced by the liver. Bile is released from the gallbladder into the small intestine to help with the digestion and absorption of fats. The gallbladder acts as a reservoir for bile, allowing it to be released in a controlled manner when needed to aid in the digestion of fatty foods. Option A is the correct answer as it accurately describes the main function of the gallbladder. Choices B, C, and D are incorrect because the gallbladder does not produce digestive enzymes, absorb nutrients, or neutralize stomach acid. These functions are carried out by other organs in the digestive system, such as the pancreas, small intestine, and stomach, respectively.

3. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

4. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

5. Blood type is a trait determined by multiple alleles, with IA and IB being co-dominant: IA codes for A blood and IB codes for B blood, while i codes for O blood and is recessive to both. If an A heterozygote individual and an O individual have a child, what is the probability that the child will have A blood?

• A. 25%
• B. 50%
• C. 75%
• D. 100%

Correct answer: B

Rationale: If an A heterozygote (IAi) and an O individual (ii) have a child, there is a 50% chance the child will inherit the IA allele and have A blood. The A heterozygote can pass on either the IA or i allele, while the O individual can only pass on the i allele. Therefore, the possible genotypes for the child are IAi (A blood) or ii (O blood), resulting in a 50% chance of the child having A blood. Choice A (25%) is incorrect as it does not take into account the possibility of inheriting the IA allele. Choice C (75%) and Choice D (100%) are incorrect as they overestimate the probability of the child having A blood.

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