Nursing Elites

1. Which locations in the digestive system are sites of chemical digestion? I. Mouth II. Stomach III. Small Intestine

• A. II only
• B. III only
• C. II and III only
• D. I, II, and III

Correct answer: D

Rationale: Chemical digestion occurs in all three locations in the digestive system - the mouth, stomach, and small intestine. Enzymes in the saliva break down carbohydrates in the mouth, gastric juices in the stomach help break down proteins, and enzymes in the small intestine further break down macronutrients like carbohydrates, proteins, and fats. The mouth initiates the digestion of carbohydrates, the stomach digests proteins, and the small intestine continues the breakdown of carbohydrates, proteins, and fats. Choice A is incorrect because chemical digestion does occur in the mouth. Choice B is incorrect as both the stomach and small intestine are sites of chemical digestion. Choice C is incorrect as the mouth is also a location of chemical digestion, not just the stomach and small intestine.

2. The pH scale is used to indicate the concentration of:

• A. Hydrogen ions
• B. Oxygen
• C. Salts
• D. Sugar molecules

Correct answer: A

Rationale: The pH scale is a measure of the concentration of hydrogen ions in a solution, representing its acidity or basicity. A lower pH value indicates higher hydrogen ion concentration and acidity, while a higher pH value indicates lower hydrogen ion concentration and basicity. Choice A, 'Hydrogen ions,' is the correct answer because the pH scale specifically measures the concentration of hydrogen ions in a solution. Choices B, C, and D are incorrect as the pH scale is not used to indicate the concentration of oxygen, salts, or sugar molecules.

3. How many moles of oxygen are required to completely react with 5 moles of propane (C3H8) in the combustion reaction?

• A. 5 moles
• B. 10 moles
• C. 15 moles
• D. 20 moles

Correct answer: C

Rationale: In the balanced chemical equation for the combustion of propane (C3H8): C3H8 + 5O2 → 3CO2 + 4H2O, 1 mole of propane (C3H8) reacts with 5 moles of oxygen (O2). To determine the moles of oxygen required to react with 5 moles of propane, we use the molar ratio: 5 moles propane x 5 moles oxygen / 1 mole propane = 25 moles oxygen. However, since the question specifically asks for the moles of oxygen needed to react with 5 moles of propane, the correct answer is 15 moles of oxygen. Choice A, 5 moles, is incorrect because this is the amount of propane provided, not the oxygen required. Choice B, 10 moles, is incorrect as it does not correspond to the molar ratio in the balanced equation. Choice D, 20 moles, is incorrect as it is not in line with the stoichiometry of the reaction.

4. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

5. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

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