Nursing Elites

1. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

2. 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.

3. What is the term for the gradual loss of topsoil due to wind or water erosion?

• A. Desertification
• B. Leaching
• C. Salinization
• D. Acidification

Correct answer: A

Rationale: A) Desertification is the correct term for the gradual loss of topsoil due to wind or water erosion. It refers to the process by which fertile land becomes desert, usually due to factors like drought, deforestation, or inappropriate agriculture practices. This process can lead to the degradation of land and contribute to the expansion of deserts. B) Leaching is the process in which minerals are washed out of the soil by water moving downwards through it. This is different from the loss of topsoil due to erosion. C) Salinization occurs when salt accumulates in the soil, typically as a result of irrigation in arid regions. While salinization affects soil quality, it is not specifically related to the gradual loss of topsoil due to erosion. D) Acidification refers to the decrease in soil pH, often caused by factors like acid rain or the use of acidic fertilizers. This process is distinct from the gradual loss of topsoil due to erosion.

4. Where is fat primarily digested, and where is protein primarily digested?

• A. Mouth; stomach
• B. Stomach; small intestine
• C. Small intestine; small intestine
• D. Small intestine; stomach

Correct answer: B

Rationale: The correct answer is B. Fats are primarily digested in the small intestine, where bile from the liver emulsifies fats for enzymatic digestion. The small intestine is where most of the absorption of nutrients occurs. Proteins, on the other hand, are mainly digested in the stomach by the enzyme pepsin under acidic conditions. The stomach's acidic environment helps denature proteins, making them more accessible to pepsin for digestion. Choices A, C, and D are incorrect because they do not accurately reflect the primary sites of fat and protein digestion in the human digestive system.

5. What is the temperature of 35°C in Kelvin?

• A. 220
• B. 238
• C. 308
• D. 345

Correct answer: C

Rationale: To convert Celsius to Kelvin, add 273.15 to the Celsius temperature. In this case, 35°C + 273.15 = 308.15 K. Therefore, the correct answer is 308 K. Choice A (220) is incorrect as it does not account for adding 273.15 to convert to Kelvin. Choice B (238) is incorrect as it is not the result of adding 273.15 to 35°C. Choice D (345) is incorrect as it is not the correct conversion of 35°C to Kelvin.

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