Nursing Elites

1. What enzyme plays a key role in breaking down carbohydrates in the small intestine?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: Amylase is the enzyme responsible for breaking down carbohydrates in the small intestine. It specifically targets starches and sugars, breaking them down into smaller molecules like maltose and glucose that can be absorbed by the body. Pepsin is an enzyme that breaks down proteins in the stomach, not the small intestine. Lipase is responsible for breaking down fats, not carbohydrates. Trypsin is an enzyme that breaks down proteins in the small intestine, not carbohydrates.

2. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

3. What is an isotope? For any given element, it is an atom with which of the following?

• A. a different atomic number
• B. a different number of protons
• C. a different number of electrons
• D. a different mass number

Correct answer: D

Rationale: An isotope of an element is an atom with a different number of neutrons, resulting in a different mass number. Isotopes of the same element have the same number of protons (which determines the element's identity) but differ in the number of neutrons, leading to variations in mass numbers. Choice A is incorrect because isotopes of the same element have the same atomic number. Choice B is incorrect because isotopes of the same element have the same number of protons. Choice C is incorrect because isotopes of the same element have the same number of electrons.

4. 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.

5. A car skids on a wet road. What is the main force preventing the car from stopping?

• A. Friction
• B. Gravitational force
• C. Normal force from the road
• D. Air resistance

Correct answer: A

Rationale: The correct answer is A: Friction. Friction is the force that opposes the motion of the car on the wet road surface, making it harder for the car to stop. When the car skids, the friction between the tires and the wet road surface is reduced, leading to a loss of traction and making it challenging for the car to come to a halt. Gravitational force (choice B) is the force that pulls objects toward each other due to gravity and does not directly impact the car's ability to stop on a wet road. The normal force from the road (choice C) is the force exerted by the road surface perpendicular to the car's tires and does not play a significant role in stopping the car. Air resistance (choice D) is the force that opposes the motion of an object through the air, but it is not the main force preventing the car from stopping on a wet road.

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