Nursing Elites

1. Where is fat primarily digested, and where is protein primarily digested?

• A. Mouth; stomach
• B. Stomach; small intestine
• C. Small intestine; small intestine
• D. Small intestine; stomach

Correct answer: B

Rationale: The correct answer is B. Fats are primarily digested in the small intestine, where bile from the liver emulsifies fats for enzymatic digestion. The small intestine is where most of the absorption of nutrients occurs. Proteins, on the other hand, are mainly digested in the stomach by the enzyme pepsin under acidic conditions. The stomach's acidic environment helps denature proteins, making them more accessible to pepsin for digestion. Choices A, C, and D are incorrect because they do not accurately reflect the primary sites of fat and protein digestion in the human digestive system.

2. 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.

3. Which organ helps break down food by grinding it with your teeth?

• A. Stomach
• B. Esophagus
• C. Liver
• D. Mouth

Correct answer: D

Rationale: The correct answer is D: Mouth. The mouth is the organ that helps break down food by grinding it with your teeth. The process of chewing, also known as mastication, breaks down food into smaller pieces, making it easier to swallow and digest. The teeth in the mouth play a crucial role in this initial stage of digestion by physically breaking down food into smaller particles. The other options listed, such as the stomach, esophagus, and liver, do not directly participate in the mechanical breakdown of food through chewing. The stomach is responsible for further digestion through chemical processes, the esophagus is a muscular tube that helps transport food to the stomach, and the liver is primarily involved in metabolic functions and bile production.

4. Which of the following is NOT a recognized mode of natural selection?

• A. Directional selection (favoring one extreme trait value on a spectrum)
• B. Disruptive selection (favoring both extreme trait values on a spectrum)
• C. Stabilizing selection (favoring the average trait value on a spectrum)
• D. Sexual selection (selection based on mate choice that influences reproductive success)

Correct answer: D

Rationale: A) Directional selection is a recognized mode of natural selection where one extreme trait value on a spectrum is favored over others, leading to a shift in the average trait value over time. B) Disruptive selection is a recognized mode of natural selection where both extreme trait values on a spectrum are favored over the average trait value, potentially causing the population to split into distinct groups. C) Stabilizing selection is a recognized mode of natural selection favoring the average trait value on a spectrum over extreme values, resulting in reduced genetic diversity. D) Sexual selection differs from traditional natural selection modes as it involves mate choice and competition for mates, not direct selection pressure on traits affecting survival and reproduction in the environment. Sexual selection can drive the evolution of traits enhancing an individual's attractiveness for mating purposes.

5. What happens when an atom loses an electron?

• A. It forms a molecule.
• B. It gains a positive charge and becomes an ion.
• C. It alters its elemental identity.
• D. No change occurs; it remains neutral.

Correct answer: B

Rationale: When an atom loses an electron, it gains a positive charge and becomes an ion. This occurs because the number of protons in the atom exceeds the number of electrons, leading to a positive charge. Therefore, the atom undergoes a transformation into an ion by losing an electron. Choice A is incorrect because losing an electron does not result in the formation of a molecule, as molecules are made up of bonded atoms. Choice C is incorrect because losing an electron does not change the fundamental identity of the atom; it only changes its charge. Choice D is incorrect because losing an electron causes the atom to become positively charged, altering its neutrality.

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