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. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

3. What are the phases of bacterial growth and infection?

• A. Lag, exponential, stationary, death
• B. Exponential, stationary, lag, death
• C. Stationary, exponential, lag, death
• D. Lag, stationary, exponential, death

Correct answer: A

Rationale: The correct answer is A: Lag, exponential, stationary, death. The phases of bacterial growth start with the lag phase where bacteria acclimate to their environment, followed by the exponential phase characterized by rapid growth. This is then followed by the stationary phase where growth slows as resources deplete, and finally, the death phase where the population declines. Choice B is incorrect as it has the order of phases mixed up. Choice C is incorrect as it also has the order of phases mixed up. Choice D is incorrect as it has the stationary phase occurring before the exponential phase, which is inaccurate.

4. Which of the following functional groups is present in carboxylic acids?

• A. Carbonyl
• B. Hydroxyl
• C. Carboxyl
• D. Aldehyde

Correct answer: C

Rationale: Carboxylic acids contain the carboxyl functional group, which consists of a carbonyl group (C=O) and a hydroxyl group (-OH) attached to the same carbon atom. The carboxyl group is represented as -COOH in the molecular structure of carboxylic acids. Therefore, the correct functional group present in carboxylic acids is the carboxyl group, making option C the correct choice. Option A, 'Carbonyl,' is incorrect as it only refers to the C=O group without the -OH component present in carboxylic acids. Option B, 'Hydroxyl,' is incorrect as it only represents the -OH group without the carbonyl group. Option D, 'Aldehyde,' is incorrect as it refers to a different functional group with a carbonyl group attached to a hydrogen atom, not the carboxyl group found in carboxylic acids.

5. What are the two primary functions of the respiratory system?

• A. Delivering nutrients and removing CO2
• B. Delivering O2 and removing CO2, maintaining blood pH
• C. Maintaining blood pH and delivering nutrients
• D. Delivering O2 and nutrients to the cells

Correct answer: B

Rationale: The correct answer is B. The respiratory system's primary functions include delivering oxygen (O2) to the body's cells for cellular respiration and removing carbon dioxide (CO2), thereby aiding in the maintenance of blood pH. These functions are crucial for gas exchange and the overall metabolic processes within the body. Choice A is incorrect as the respiratory system primarily delivers O2, not nutrients, and removes CO2, not delivering it. Choice C is incorrect as while the respiratory system helps maintain blood pH by removing CO2, it does not primarily deliver nutrients. Choice D is incorrect as it combines the functions of delivering O2 and nutrients, which are distinct roles of different systems in the body.

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