Nursing Elites

1. 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.

2. How much sugar is in a 1 M solution of sugar water?

• A. 1 L of water
• B. 100 mL of solution
• C. Every 100 g of water
• D. It depends on the type of sugar

Correct answer: B

Rationale: A 1 M solution of sugar water contains 1 mole of sugar in 1 liter of solution. Since 1 M (molar) solution means there is 1 mole of solute (sugar) dissolved in 1 liter of solvent (water), the correct answer is 100 mL of solution. Choice A, '1 L of water,' is incorrect because it does not specify the total volume of the solution. Choice C, 'Every 100 g of water,' is incorrect as it focuses on the weight of water, not the volume of the solution. Choice D, 'It depends on the type of sugar,' is incorrect since the concentration of a 1 M solution is standardized and does not vary based on the type of sugar used.

3. Which property of matter remains constant regardless of changes in gravity?

• A. Mass
• B. Weight
• C. Volume
• D. Density

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in gravity. This is because mass is an intrinsic property of an object and does not depend on the gravitational field it is in. Weight, on the other hand, is the force of gravity acting on an object's mass and can vary depending on the strength of gravity. Volume is the amount of space an object occupies, which can change depending on the environment. Density is the mass of an object per unit volume, which can also change with variations in gravity. Therefore, the correct answer is Mass as it remains the same regardless of gravitational changes.

4. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

5. From which type of tissue is the myelin sheath derived, a fatty substance that insulates nerve fibers?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath, a fatty substance that insulates nerve fibers, is derived from nervous tissue, specifically glial cells. Glial cells, including oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system, are responsible for producing the myelin sheath that surrounds and insulates nerve fibers, aiding in the conduction of nerve impulses. Epithelial tissue (Choice A), Muscle tissue (Choice B), and Connective tissue (Choice D) are not responsible for producing the myelin sheath; instead, nervous tissue (glial cells) plays this crucial role.

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