Nursing Elites

1. 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.

2. Which of the following are functions of the urinary system?

• A. I, II, and III
• B. II and III
• C. II, III, and IV
• D. All of the above

Correct answer: D

Rationale: The corrected answer is D, 'All of the above.' The urinary system performs multiple essential functions to maintain the body's internal environment. Synthesizing calcitriol and secreting erythropoietin are crucial roles of the kidneys. Regulating the concentrations of sodium, potassium, chloride, calcium, and other ions helps in maintaining the electrolyte balance. Reabsorbing or secreting hydrogen ions and bicarbonate is vital for managing the body's acid-base balance. Furthermore, the urinary system is involved in detecting reductions in blood volume and pressure, aiding in the maintenance of blood pressure levels and fluid balance in the body.

3. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

4. Which kingdom primarily consists of multicellular, photosynthetic organisms with cell walls made of cellulose?

• A. Animalia
• B. Fungi
• C. Plantae
• D. Protista

Correct answer: C

Rationale: A) Animalia consists of multicellular organisms that lack cell walls and are heterotrophic. Therefore, it does not primarily consist of photosynthetic organisms with cell walls made of cellulose. B) Fungi are multicellular organisms with cell walls made of chitin and are heterotrophic, so they do not fit the description. C) Plantae primarily consists of multicellular, photosynthetic organisms with cell walls made of cellulose. This accurately describes plants. D) Protista is a diverse kingdom that includes unicellular and multicellular organisms with varying characteristics, but it does not primarily consist of multicellular, photosynthetic organisms with cell walls made of cellulose.

5. During antibiotic use, bacteria can evolve resistance. This is an example of:

• A. Coevolution (two species influencing each other's evolution)
• B. Convergent evolution (unrelated organisms evolving similar traits)
• C. Macroevolution (large-scale evolutionary change)
• D. Artificial selection acting on a natural process

Correct answer: D

Rationale: The process of bacteria evolving resistance to antibiotics due to the selective pressure exerted by the antibiotics is an example of artificial selection (human intervention selecting for certain traits) acting on a natural process (bacterial evolution). Antibiotic use creates a selective pressure that favors the survival and reproduction of bacteria with resistance traits, leading to the evolution of antibiotic-resistant strains. - Coevolution (option A) refers to the influence of two species on each other's evolution, which is not the case in the scenario described in the question. - Convergent evolution (option B) involves unrelated organisms evolving similar traits due to similar environmental pressures, which is not directly applicable to the situation of bacteria evolving resistance to antibiotics. - Macroevolution (option C) refers to large-scale evolutionary changes over long periods, which is not specifically demonstrated in the context of bacteria evolving resistance during antibiotic use.

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