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. Which is the correct order of formed elements in blood from smallest to largest cell size?

• A. Erythrocytes, thrombocytes, and leukocytes
• B. Thrombocytes, leukocytes, and erythrocytes
• C. Thrombocytes, erythrocytes, and leukocytes
• D. Leukocytes, erythrocytes, and thrombocytes

Correct answer: C

Rationale: The correct order of formed elements in blood from smallest to largest cell size is thrombocytes (platelets), erythrocytes (red blood cells), and leukocytes (white blood cells), making choice C the correct answer. Thrombocytes are the smallest, followed by erythrocytes, and then leukocytes. Choices A, B, and D are incorrect because they do not follow the correct order of cell size in blood formed elements.

3. Which of the following is NOT an example of a homeostatic mechanism?

• A. Shivering when the body temperature falls.
• B. Increasing heart rate when blood pressure is low.
• C. Weight gain when consuming excess calories.
• D. Secreting insulin to decrease blood sugar concentration.

Correct answer: C

Rationale: Weight gain when consuming excess calories is not an example of a homeostatic mechanism. Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. The other options listed (A, B, and D) involve physiological responses aimed at restoring balance or stability within the body (e.g., regulating body temperature, blood pressure, and blood sugar levels). Shivering, increasing heart rate, and secreting insulin are mechanisms to counteract specific imbalances and maintain internal equilibrium. In contrast, weight gain due to excess calorie intake does not represent a specific regulatory mechanism but rather an outcome of energy imbalance. The body stores excess energy as fat rather than actively regulating a physiological parameter to restore balance.

4. How many tissue layers make up the uterus?

• A. One.
• B. Two.
• C. Three.
• D. Four.

Correct answer: C

Rationale: The correct answer is C, 'Three.' The uterus is composed of three tissue layers: the endometrium, myometrium, and perimetrium. The endometrium is the innermost layer that thickens during the menstrual cycle and sheds during menstruation or supports a developing embryo during pregnancy. The myometrium is the middle layer, consisting of muscle tissue that contracts during labor. The perimetrium is the outer layer that covers the uterus. These three layers work together to support the functions of the uterus, such as menstruation, pregnancy, and labor. Choices A, B, and D are incorrect because the uterus is not made up of just one or two layers but rather three distinct tissue layers.

5. What is the function of the lymphatic system?

• A. To transport oxygen
• B. To filter waste from the blood
• C. To produce red blood cells
• D. To regulate body temperature

Correct answer: B

Rationale: The correct answer is B: 'To filter waste from the blood.' The lymphatic system is responsible for draining excess fluid from tissues, absorbing fats from the digestive system, and filtering out harmful substances and waste products from the blood. It also plays a crucial role in the body's immune defense by transporting white blood cells and antibodies to fight off infections. Choices A, C, and D are incorrect because transporting oxygen, producing red blood cells, and regulating body temperature are functions performed by other systems in the body, such as the respiratory system, bone marrow, and thermoregulatory mechanisms, respectively.

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