Nursing Elites

1. Which digestive enzyme is primarily responsible for breaking down proteins?

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

Correct answer: A

Rationale: The correct answer is A, Pepsin. Pepsin is primarily responsible for breaking down proteins in the stomach. It is produced in an inactive form called pepsinogen, which becomes activated by the acidic environment in the stomach. Pepsin functions by breaking down proteins into smaller peptides, which are further digested by other enzymes in the small intestine. Lipase is responsible for breaking down fats, amylase for carbohydrates, and maltase for converting maltose into glucose. Therefore, choices B, C, and D are incorrect as they are associated with breaking down fats, carbohydrates, and converting maltose, respectively, not proteins.

2. Urinary system health can be maintained through various lifestyle practices. Which of the following is NOT recommended for optimal urinary system health?

• A. Limiting high-sodium foods in the diet
• B. Consuming adequate amounts of cranberry juice
• C. Holding urine in the bladder for long periods
• D. Getting regular moderate-intensity exercise

Correct answer: C

Rationale: Holding urine in the bladder for long periods is not recommended for optimal urinary system health. It can increase the risk of urinary tract infections and other bladder-related issues. When urine is held for a long time, bacteria have more time to multiply in the bladder, leading to infections. Additionally, holding urine for prolonged periods can also contribute to bladder distension, which may affect bladder function over time. Therefore, it is crucial to empty the bladder regularly to maintain good urinary system health. Limiting high-sodium foods helps reduce the risk of kidney stones and high blood pressure, while consuming cranberry juice may help prevent urinary tract infections by interfering with the adhesion of bacteria to the bladder walls. Regular moderate-intensity exercise promotes overall health, including maintaining a healthy weight and reducing the risk of chronic conditions that can impact the urinary system.

3. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Kwashiorkor is a severe acute malnutrition condition resulting from insufficient dietary protein intake. It is characterized by symptoms such as edema, skin lesions, an enlarged liver with fatty infiltrates, and notably, muscle wasting. Muscle wasting occurs as the body breaks down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is associated with vitamin A deficiency, scurvy (option C) results from a lack of vitamin C, and rickets (option D) is caused by a deficiency in vitamin D, calcium, or phosphate.

4. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

5. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

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