Nursing Elites

1. Which of the following is NOT a common symptom of lactose intolerance?

• A. Gas
• B. Bloating
• C. Diarrhea
• D. Nausea

Correct answer: D

Rationale: A) Gas: Gas is a common symptom of lactose intolerance. When lactose is not properly digested, it can ferment in the colon, leading to the production of gas. B) Bloating: Bloating is another common symptom of lactose intolerance. The buildup of gas in the digestive system can cause bloating and discomfort. C) Diarrhea: Diarrhea is a common symptom of lactose intolerance. When lactose is not broken down in the small intestine, it can draw excess water into the colon, resulting in diarrhea. D) Nausea: Nausea is not a common symptom of lactose intolerance. While some individuals may experience mild stomach discomfort or cramps, nausea is not typically associated with lactose intolerance.

2. A rocket engine expels hot gases backwards. What principle explains the rocket's forward motion?

• A. Newton's first law of motion
• B. Newton's second law of motion
• C. Newton's third law of motion
• D. Law of conservation of energy

Correct answer: C

Rationale: Newton's third law of motion states that for every action, there is an equal and opposite reaction. In the case of a rocket engine expelling hot gases backwards, the action is the expulsion of gases, and the reaction is the forward motion of the rocket. The hot gases being expelled act as the action force, propelling the rocket in the opposite direction as the reaction force, resulting in the rocket's forward motion. Newton's first law of motion (Choice A) pertains to inertia, stating that an object in motion will stay in motion unless acted upon by an external force. Newton's second law of motion (Choice B) relates force, mass, and acceleration, which is not directly applicable to the scenario of a rocket engine propulsion. The law of conservation of energy (Choice D) is a fundamental principle stating that energy cannot be created or destroyed but can only be transformed, which does not directly explain the forward motion of the rocket in this context.

3. 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.

4. In the human skeleton, which of the following lists some of the vertebrae in descending order?

• A. Atlas, axis, thoracic, lumbar, sacral, coccyx.
• B. Axis, sacral, coccyx, atlas, lumbar, thoracic.
• C. Thoracic, sacral, lumbar, axis, coccyx, atlas.
• D. Coccyx, lumbar, axis, sacral, thoracic, atlas.

Correct answer: A

Rationale: The correct order of some of the vertebrae in the human skeleton in descending order is Atlas, Axis, Thoracic, Lumbar, Sacral, Coccyx. This sequence follows the typical arrangement from the top of the spine down towards the pelvis. Choice B is incorrect as it does not follow the descending order of vertebrae. Choice C is incorrect as it starts with Thoracic which is not the first vertebra in the descending order. Choice D is incorrect as it starts with Coccyx which is the last vertebra in the descending order.

5. What is the significance of a healthy gut microbiome?

• A. Production of digestive enzymes
• B. Boosting the immune system and nutrient synthesis
• C. Breakdown of complex carbohydrates
• D. Regulation of appetite

Correct answer: B

Rationale: A healthy gut microbiome plays a crucial role in boosting the immune system by defending against harmful pathogens, synthesizing essential nutrients like vitamins, aiding in the digestion of certain foods, and maintaining overall gut health. While the gut microbiome does contribute to the breakdown of complex carbohydrates and regulation of appetite, its significance extends beyond these functions to include immune support and nutrient synthesis. Choice A, production of digestive enzymes, is not the primary significance of a healthy gut microbiome. Choice C is a function related to the gut microbiome but is not the sole significance. Choice D, regulation of appetite, is important but not as central as the immune system support and nutrient synthesis provided by a healthy gut microbiome.

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