Nursing Elites

1. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

2. Which of the following is part of the central nervous system?

• A. Spinal cord
• B. Peripheral nerves
• C. Brainstem
• D. Cerebellum

Correct answer: A

Rationale: The correct answer is A: Spinal cord. The central nervous system comprises the brain and spinal cord. The spinal cord plays a crucial role in transmitting information between the brain and the body. Choices B, C, and D are not part of the central nervous system. Peripheral nerves belong to the peripheral nervous system, whereas the brainstem and cerebellum are components of the brain, distinct from the central nervous system.

3. What is the balanced chemical equation for the reaction between sulfuric acid (H2SO4) and potassium hydroxide (KOH)?

• A. H2SO4 + KOH → K2SO4 + H2O
• B. 2H2SO4 + 2KOH → 2K2SO4 + 2H2O
• C. H2SO4 + 2KOH → K2SO4 + 2H2O
• D. H2SO4 + 2KOH → K2SO4 + H2O

Correct answer: C

Rationale: When sulfuric acid (H2SO4) reacts with potassium hydroxide (KOH), it forms potassium sulfate (K2SO4) and water (H2O). To balance the equation, 2 KOH molecules are required to react with 1 H2SO4 molecule, resulting in 1 K2SO4 molecule and 2 H2O molecules. Therefore, the balanced chemical equation is H2SO4 + 2KOH → K2SO4 + 2H2O, which corresponds to option C. Choice A is incorrect because it does not account for the correct stoichiometry between the reactants and products. Choice B incorrectly doubles all the molecules in the reaction, leading to an unbalanced equation. Choice D incorrectly balances the equation with 1 KOH molecule instead of the required 2 KOH molecules, making it unbalanced. Thus, option C is the correct balanced chemical equation for the reaction between sulfuric acid and potassium hydroxide.

4. Which brain area can lead to difficulty with language and speech if damaged?

• A. Broca's area
• B. Wernicke's area
• C. Occipital lobe
• D. Cerebellum

Correct answer: A

Rationale: Damage to Broca's area, located in the frontal lobe of the brain, can result in difficulties with language and speech production. Broca's area is responsible for speech production and coordinating the muscles involved in speech. Damage to this area can lead to Broca's aphasia, characterized by struggles in forming words and sentences. On the other hand, damage to Wernicke's area in the temporal lobe can cause issues with language comprehension and producing meaningful language, leading to Wernicke's aphasia. The occipital lobe primarily processes visual information, while the cerebellum is responsible for coordinating movement and balance, not language and speech.

5. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

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