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. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

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. What is the function of fascia in muscle tissue?

• A. to enclose, protect, support, and separate muscle tissue
• B. to connect muscle tissue to bone
• C. to serve as the contractile unit of muscle
• D. to slide past the actin protein cells in muscle to create contraction

Correct answer: A

Rationale: The correct answer is A: 'to enclose, protect, support, and separate muscle tissue.' Fascia is a connective tissue that surrounds muscles, providing structural support, protecting them from friction and injury, and helping in movement. Choice B is incorrect as tendons are responsible for connecting muscle tissue to bone. Choice C is incorrect as the contractile unit of muscle is the sarcomere, not fascia. Choice D is incorrect as the process described relates to muscle contraction mechanisms involving actin and myosin, not the function of fascia.

5. Which statement correctly matches the valve with its function in the heart?

• A. The aortic valve allows oxygenated blood to flow from the left ventricle to the rest of the body.
• B. The mitral valve opens to allow blood flow from the left atrium to the left ventricle.
• C. The pulmonic valve allows deoxygenated blood to flow from the right ventricle to the pulmonary artery.
• D. The tricuspid valve allows deoxygenated blood to flow from the right atrium to the right ventricle.

Correct answer: A

Rationale: The correct answer is A. The aortic valve allows oxygenated blood to flow from the left ventricle to the rest of the body. When the left ventricle contracts, the aortic valve opens to allow blood to be pumped into the aorta, the body's main artery that carries oxygen-rich blood to various parts of the body. Choices B, C, and D are incorrect because they do not match the described functions of the mitral, pulmonic, and tricuspid valves, respectively. The mitral valve controls the flow of blood between the left atrium and left ventricle, the pulmonic valve regulates the flow of blood from the right ventricle to the pulmonary artery, and the tricuspid valve manages the blood flow between the right atrium and right ventricle.

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