Nursing Elites

1. Which of the following is the main organ responsible for producing bile?

• A. Liver
• B. Gallbladder
• C. Pancreas
• D. Stomach

Correct answer: A

Rationale: The liver is the main organ responsible for producing bile. Bile, a greenish-yellow fluid, is produced by the liver and stored in the gallbladder. Its primary function is to aid in the digestion and absorption of fats in the small intestine. When needed, the gallbladder releases bile into the small intestine to facilitate fat digestion. The pancreas produces digestive enzymes and insulin, not bile, making choice C incorrect. The stomach's primary role is to digest food through gastric juice secretion, making choice D incorrect. Therefore, the correct answer is the liver, as it is the main organ responsible for bile production.

2. What is the waste product of protein digestion?

• A. Glucose
• B. Amino acids
• C. Fatty acids
• D. Ammonia

Correct answer: D

Rationale: The waste product of protein digestion is ammonia. Protein digestion breaks down proteins into amino acids, and during this process, ammonia is produced. Ammonia is toxic and needs to be converted into urea in the liver for excretion via urine. Glucose is a product of carbohydrate digestion, amino acids are building blocks of proteins, and fatty acids are the end products of fat digestion. Therefore, the correct answer is ammonia.

3. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: Physical barriers such as the skin and mucous membranes are crucial components of the innate immune system's first line of defense. These barriers act as physical obstacles that prevent pathogens from entering the body. Antibodies (option A) are produced by the adaptive immune system in response to specific pathogens and do not serve as physical barriers. Phagocytes (option B) are cells that engulf and digest pathogens, playing a role in the innate immune response but not as physical barriers. Memory B cells (option D) are part of the adaptive immune system and aid in mounting a faster and more effective immune response upon subsequent exposure to a specific pathogen, but they are not physical barriers against initial pathogen entry.

4. What impact would the removal of a keystone species have in an ecosystem?

• A. Lead to a decrease in competition among other species
• B. Cause a slight increase in primary productivity
• C. Have a minimal impact on the overall ecosystem structure
• D. Disrupt the food web and cause cascading effects on other populations

Correct answer: D

Rationale: Keystone species play a crucial role in maintaining the balance and structure of an ecosystem due to their significant influence. If a keystone species is removed, it disrupts the delicate food web dynamics and can trigger cascading effects throughout the ecosystem. The disruption in predator-prey relationships can lead to population declines and even extinctions of other species. Options A, B, and C are incorrect because the removal of a keystone species would not decrease competition among other species, cause a slight increase in primary productivity, or have a minimal impact on the overall ecosystem structure. Instead, it would have a profound impact, disrupting the food web and causing cascading effects on other populations.

5. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The main target organ for insulin is muscles. Insulin plays a crucial role in regulating glucose metabolism by promoting the uptake of glucose into muscle cells. This glucose can then be utilized for energy production or stored for later use. Therefore, muscles are the primary site where insulin exerts its effects on glucose uptake and utilization. The liver primarily responds to insulin by regulating glucose storage and release, but the main target for insulin-mediated glucose uptake is muscles. Kidneys are not a target organ for insulin action in glucose metabolism. The brain does not heavily rely on insulin for glucose uptake as it primarily uses glucose independently of insulin for energy production.

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