Nursing Elites

1. Which of the following is NOT a function of the integumentary system?

• A. Regulation of body temperature
• B. Protection from pathogens
• C. Synthesis of vitamin D
• D. Production of digestive enzymes

Correct answer: D

Rationale: The correct answer is D. The production of digestive enzymes is not a function of the integumentary system. The integumentary system is responsible for regulating body temperature, protecting the body from pathogens, and synthesizing vitamin D. Digestive enzymes are produced by organs in the digestive system, such as the pancreas and stomach, and not by the integumentary system.

2. Chyle, a milky white fluid, is transported by lymphatic vessels from the:

• A. Lungs
• B. Intestines
• C. Kidneys
• D. Skin

Correct answer: B

Rationale: Chyle, a milky white fluid, is formed in the small intestine during digestion. It is composed of lymph and emulsified fats. Lymphatic vessels in the intestines, specifically lacteals, transport chyle from the intestines to the bloodstream for the distribution of nutrients throughout the body. The transport of chyle from the lungs, kidneys, or skin is not correct as these organs are not primarily involved in the production or transportation of chyle.

3. 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.

4. After a person eats birthday cake, which of the following enzymes is needed to break down the sucrose in the cake?

• A. Lactase
• B. Maltase
• C. Peptidase
• D. Sucrase

Correct answer: D

Rationale: Sucrase is the correct enzyme needed to break down sucrose into its component sugars, glucose, and fructose. Lactase is responsible for breaking down lactose, maltase for maltose, and peptidase for proteins; therefore, they are not the enzymes required to digest sucrose specifically. In the context of digesting birthday cake, which contains sucrose, sucrase is the enzyme needed for this particular sugar.

5. Which part of the brain is responsible for coordinating various sensory inputs, regulating sleep, and maintaining wakefulness?

• A. Cerebrum
• B. Hypothalamus
• C. Medulla oblongata
• D. Reticular formation

Correct answer: D

Rationale: The reticular formation is a network of neurons located in the brainstem that plays a crucial role in regulating sleep-wake cycles, coordinating various sensory inputs, and maintaining wakefulness. It acts as a filter for incoming sensory information and helps in directing attention to important stimuli. The other options, the cerebrum, hypothalamus, and medulla oblongata, are important structures in the brain but are not primarily responsible for the specific functions mentioned in the question. The cerebrum is mainly involved in higher brain functions such as thinking and voluntary movements. The hypothalamus is responsible for regulating body temperature, hunger, and thirst, among other functions. The medulla oblongata is essential for controlling vital autonomic functions like breathing and heart rate.

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