Nursing Elites

1. Which type of fiber is insoluble and promotes gut motility?

• A. Pectin
• B. Cellulose
• C. Beta-gluca
• D. Guar gum

Correct answer: B

Rationale: A) Pectin is a soluble fiber found in fruits and vegetables. It forms a gel-like substance in the gut and can help lower cholesterol levels. B) Cellulose is an insoluble fiber found in plants, particularly in the cell walls of fruits, vegetables, and whole grains. It adds bulk to the stool and promotes gut motility by aiding in the movement of food through the digestive system. C) Beta-glucan is a soluble fiber found in oats and barley. It can help lower cholesterol levels and improve blood sugar control. D) Guar gum is a soluble fiber derived from guar beans. It can help with digestion and may have a role in managing blood sugar levels. In this case, the question specifically asks for the type of fiber that is insoluble and promotes gut motility, which is characteristic of cellulose.

2. Which of the following enzymes unwinds the double-stranded DNA during replication?

• A. Helicase
• B. Ligase
• C. Nuclease
• D. Polymerase

Correct answer: A

Rationale: Helicase is the enzyme responsible for unwinding the double-stranded DNA during replication by breaking the hydrogen bonds between the base pairs. This process creates the replication fork where DNA polymerase can then synthesize new DNA strands. Ligase functions to join Okazaki fragments on the lagging strand, not unwind DNA. Nuclease is involved in DNA repair by removing damaged DNA segments. Polymerase is responsible for synthesizing new DNA strands based on the existing template strands, not for unwinding the DNA.

3. 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.

4. What occurs in each of the three phases of the uterine cycle?

• A. Proliferative: uterine lining thickens
• B. Secretory: ovulation occurs
• C. Menstrual: uterine lining sheds
• D. Proliferative: uterine lining thickens

Correct answer: D

Rationale: The correct answer is D. In the proliferative phase of the uterine cycle, the uterine lining thickens in preparation for a possible pregnancy. Ovulation occurs around day 14 of the cycle. The menstrual phase is when the uterine lining sheds if pregnancy has not occurred. Choice A is a duplicate of the correct answer. Choice B is incorrect as ovulation occurs during the mid-cycle, which is the ovulatory phase, not the secretory phase. Choice C is incorrect because the uterine lining sheds during the menstrual phase, not the secretory phase.

5. What is the role of the pancreas in regulating blood sugar levels?

• A. To produce insulin only
• B. To produce both insulin and glucagon
• C. To store glucose
• D. To produce adrenaline

Correct answer: B

Rationale: The correct answer is B. The pancreas plays a crucial role in regulating blood sugar levels by producing both insulin and glucagon. Insulin helps lower blood sugar levels by promoting the uptake of glucose into cells, while glucagon raises blood sugar levels by stimulating the release of stored glucose into the bloodstream. Choice A is incorrect because the pancreas produces both insulin and glucagon. Choice C is incorrect because the pancreas does not store glucose; instead, it regulates glucose levels. Choice D is incorrect because adrenaline is produced by the adrenal glands, not the pancreas, and is not directly involved in regulating blood sugar levels.

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