Nursing Elites

1. A dietitian wants to convince a patient to lose weight. Which statement below best communicates a scientific argument that justifies the need for weight loss?

• A. Losing weight can lower blood pressure, increase energy levels, and promote overall health.
• B. Society tends to treat overweight people unfairly.
• C. Members of the opposite sex are more interested in people who maintain a healthy weight.
• D. Losing weight is easy to do.

Correct answer: A

Rationale: Choice A is the correct answer as it provides a scientific argument supported by evidence. Losing weight has been shown to lower blood pressure, increase energy levels, and promote overall health. These are concrete health benefits that can be objectively measured and monitored. Choices B and C do not offer scientific justifications for weight loss but rather focus on societal perceptions and personal relationships. Choice D is incorrect as losing weight is not always easy and may require significant effort and lifestyle changes.

2. What element is responsible for the red color of blood?

• A. Magnesium
• B. Iron
• C. Copper
• D. Zinc

Correct answer: B

Rationale: The correct answer is B: Iron. Hemoglobin, the protein responsible for carrying oxygen in red blood cells, contains iron in its heme group, contributing to the blood's characteristic red color. Magnesium (choice A), copper (choice C), and zinc (choice D) are not responsible for the red color of blood. Magnesium is an essential mineral involved in various physiological processes, copper is a trace element important for enzyme function, and zinc is a micronutrient essential for multiple cellular functions but not related to the red color of blood.

3. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

4. What is the maximum volume of air that can be expelled from the lungs after maximum inhalation?

• A. Tidal volume
• B. Total lung capacity
• C. Ventilation rate
• D. Vital capacity

Correct answer: D

Rationale: The correct answer is D, Vital capacity. Vital capacity represents the maximum volume of air that can be expelled from the lungs after a maximum inhalation. Tidal volume (Choice A) is the volume of air inspired or expired during normal breathing at rest and is not the maximum capacity. Total lung capacity (Choice B) refers to the maximum volume of air the lungs can accommodate including the residual volume, not just the expelled air. Ventilation rate (Choice C) is the rate at which air is moved in and out of the lungs, not the maximum volume of air that can be expelled.

5. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

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