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 hormone, produced by the pituitary gland, stimulates the production of milk in mammary glands during breastfeeding?

• A. Growth hormone (GH)
• B. Thyroid-stimulating hormone (TSH)
• C. Prolactin
• D. Follicle-stimulating hormone (FSH)

Correct answer: C

Rationale: Prolactin is the hormone produced by the pituitary gland that stimulates the production of milk in mammary glands during breastfeeding. It plays a crucial role in lactation by promoting the development of mammary tissue and the production of milk. Growth hormone (GH), thyroid-stimulating hormone (TSH), and follicle-stimulating hormone (FSH) do not directly stimulate milk production in mammary glands. Therefore, choices A, B, and D are incorrect in the context of stimulating milk production during breastfeeding.

3. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases carbon dioxide-rich air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: A

Rationale: Exhalation (expiration) involves active muscle contraction, specifically the diaphragm and intercostal muscles, to decrease the volume of the thoracic cavity and push air out of the lungs. In contrast, inhalation (inspiration) is a passive process where the diaphragm and external intercostal muscles contract to increase the thoracic cavity volume, allowing air to flow into the lungs. Choice B is incorrect as exhalation removes carbon dioxide-rich air and inhalation brings in oxygen-rich air. Choice C is incorrect because both exhalation and inhalation can occur through the nose or mouth. Choice D is inaccurate as inhalation humidifies and warms the air, while exhalation cools and dries it.

4. Which organ produces insulin?

• A. Pancreas
• B. Liver
• C. Stomach
• D. Kidneys

Correct answer: A

Rationale: Insulin is a hormone that regulates blood sugar levels by facilitating the uptake of glucose into cells for energy production or storage. The pancreas, located behind the stomach, is the organ responsible for producing insulin. Within the pancreas, specialized cells known as beta cells synthesize and secrete insulin in response to changes in blood glucose levels. The liver, although vital for metabolism, does not produce insulin. Similarly, the stomach and kidneys do not play a role in insulin production. Hence, the correct answer is the pancreas.

5. Define the term 'velocity' in relation to motion.

• A. Speed in a specific direction
• B. Distance traveled in a given time
• C. Rate of change of position
• D. Acceleration due to gravity

Correct answer: A

Rationale: Velocity is a vector quantity that describes the speed of an object along with its direction of motion. Unlike speed, which is a scalar quantity focusing solely on the magnitude of motion, velocity considers both speed and direction. Therefore, the best definition of velocity is 'speed in a specific direction.' Choice B, 'Distance traveled in a given time,' is incorrect as it defines speed rather than velocity. Choice C, 'Rate of change of position,' is more aligned with the definition of velocity but lacks the specificity of direction. Choice D, 'Acceleration due to gravity,' is unrelated to the definition of velocity and refers to a different concept in physics.

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