Nursing Elites

1. Which of the following is a function of the liver?

• A. Producing digestive enzymes
• B. Storing bile
• C. Filtering waste products from the blood
• D. Transporting nutrients to cells

Correct answer: B

Rationale: The correct function of the liver is to store bile. Bile is produced in the liver and stored in the gallbladder until it is needed to aid in the digestion of fats. While the liver does produce bile, its primary role is to store and release it. Choices A, C, and D are incorrect. Producing digestive enzymes is mainly the function of the pancreas, filtering waste products from the blood is primarily done by the kidneys, and transporting nutrients to cells is typically associated with the circulatory system rather than the liver.

2. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

3. Which type of blood vessel carries oxygenated blood away from the heart?

• A. Vein
• B. Artery
• C. Capillary
• D. Lymphatic vessel

Correct answer: B

Rationale: The correct answer is B. Arteries carry oxygenated blood away from the heart to the rest of the body, delivering nutrients and oxygen to the tissues. Veins, on the other hand, carry deoxygenated blood back to the heart. Capillaries are where the exchange of gases, nutrients, and waste products occurs between the blood and tissues. Lymphatic vessels are responsible for transporting lymph, which is a clear fluid containing white blood cells and waste products, and play a key role in the immune system.

4. Which statement is true about the pH of a solution?

• A. A solution cannot have a pH less than 0.
• B. A solution always has a pH of 7.
• C. A solution's pH is not influenced by its chemical composition.
• D. A solution with a pH of 14 is considered acidic.

Correct answer: A

Rationale: The pH scale ranges from 0 to 14, with 0 being the most acidic, 7 neutral, and 14 the most basic. A solution with a pH less than 0 would be outside the defined pH range, as 0 is the lower limit. Therefore, a solution cannot have a pH less than 0. Choice B is incorrect because a pH of 7 is considered neutral, not always the pH of a solution. Choice C is incorrect because a solution's pH is influenced by its chemical composition. Choice D is incorrect as a solution with a pH of 14 is considered highly basic, not acidic.

5. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

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