Nursing Elites

1. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

2. Which of the following best describes the term homeostasis?

• A. The ability to maintain a constant body temperature
• B. The ability to maintain a stable internal environment
• C. The ability to increase body temperature when cold
• D. The ability to regulate blood glucose levels

Correct answer: B

Rationale: The correct answer is B, 'The ability to maintain a stable internal environment.' Homeostasis refers to the body's ability to regulate and maintain a stable internal environment, which includes variables like body temperature, pH levels, and fluid balance. It involves processes that help keep the body's internal conditions within a narrow range, despite external changes. While maintaining body temperature is a component of homeostasis, it is not the complete definition of the term. Choice C, 'The ability to increase body temperature when cold,' is incorrect as homeostasis aims to maintain stability rather than promoting temperature increases in response to external conditions. Choice D, 'The ability to regulate blood glucose levels,' is also incorrect as this is a specific function related to glucose homeostasis, which is a part of overall homeostatic processes but not the sole definition of homeostasis itself.

3. Which of the following is an example of aseptic technique?

• A. Washing hands with soap and water before surgery
• B. Coughing into your elbow
• C. Sharing a stethoscope without cleaning
• D. Leaving a wound dressing exposed

Correct answer: A

Rationale: Aseptic technique refers to practices that help prevent the introduction of harmful microorganisms into a sterile environment. Washing hands with soap and water before surgery is an essential component of aseptic technique as it helps reduce the number of microorganisms on the hands, decreasing the risk of introducing pathogens into the surgical site. Coughing into your elbow is a good hygiene practice to prevent the spread of respiratory infections but is not specifically related to aseptic technique. Sharing a stethoscope without cleaning can introduce microorganisms from one patient to another, compromising aseptic conditions. Leaving a wound dressing exposed can lead to contamination and infection, which is contrary to aseptic technique.

4. What happens to the density of a gas when its temperature increases at constant pressure?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Information is insufficient.

Correct answer: B

Rationale: When the temperature of a gas increases at constant pressure, the average kinetic energy of the gas molecules increases. This leads to the gas molecules moving faster and spreading out more, which causes them to occupy a larger volume. As a result, the density of the gas decreases because the same number of gas molecules are now distributed over a larger space. Choice A is incorrect because as the gas molecules spread out, the density decreases. Choice C is incorrect because the increase in temperature leads to a decrease in density due to the increased volume occupied by the gas molecules. Choice D is incorrect because with the provided scenario of temperature increase at constant pressure, the effect on density can be determined.

5. What is the name for the hard, protective protein that makes up hair and nails?

• A. Collagen
• B. Keratin
• C. Elastin
• D. Fibrin

Correct answer: B

Rationale: Keratin is the correct answer as it is the hard, protective protein that comprises hair and nails. Collagen is a different type of protein found in connective tissues, providing structure and support. Elastin imparts elasticity to tissues, allowing them to stretch and recoil. Fibrin is a protein involved in the blood clotting process and is not related to the structure of hair and nails. Therefore, choices A, C, and D are incorrect in the context of the question.

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