Nursing Elites

1. Which element is used in insulin and promotes glucose uptake into cells for energy production?

• A. Zinc
• B. Chromium
• C. Manganese
• D. Iron

Correct answer: B

Rationale: Chromium is the correct answer. Chromium is the element used in insulin that aids in its function by enhancing glucose uptake into cells and regulating blood sugar levels. It plays a crucial role in the body's energy production processes by facilitating the action of insulin. Zinc (Choice A), although important for various physiological functions, is not the element used in insulin. Manganese (Choice C) is necessary for enzyme activation but is not directly involved in insulin's function. Iron (Choice D) is essential for oxygen transport but is not the element used in insulin for promoting glucose uptake into cells.

2. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels primarily due to muscle contractions and breathing movements and also with the help of one-way valves within the vessels. The lymphatic system lacks a central pump like the heart; hence, it relies on the contraction of surrounding muscles and breathing movements to propel lymph fluid. One-way valves within the lymphatic vessels prevent backflow and ensure the unidirectional flow of lymph. Option A is incorrect as the lymphatic system does not rely on the pumping action of the heart. Option D is incorrect as the correct answer is the combination of muscle contractions, breathing movements, and one-way valves, not all the options provided.

3. Which type of fiber is insoluble and promotes gut motility?

• A. Pectin
• B. Cellulose
• C. Beta-gluca
• D. Guar gum

Correct answer: B

Rationale: A) Pectin is a soluble fiber found in fruits and vegetables. It forms a gel-like substance in the gut and can help lower cholesterol levels. B) Cellulose is an insoluble fiber found in plants, particularly in the cell walls of fruits, vegetables, and whole grains. It adds bulk to the stool and promotes gut motility by aiding in the movement of food through the digestive system. C) Beta-glucan is a soluble fiber found in oats and barley. It can help lower cholesterol levels and improve blood sugar control. D) Guar gum is a soluble fiber derived from guar beans. It can help with digestion and may have a role in managing blood sugar levels. In this case, the question specifically asks for the type of fiber that is insoluble and promotes gut motility, which is characteristic of cellulose.

4. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

5. What does antidiuretic hormone (ADH) help the kidneys regulate?

• A. Acid-base balance
• B. Blood pressure
• C. Urine output by controlling water reabsorption
• D. All of the above

Correct answer: C

Rationale: Antidiuretic hormone (ADH) helps the kidneys regulate urine output by controlling water reabsorption. ADH acts on the kidneys to increase the reabsorption of water, leading to a decrease in urine output. This helps the body conserve water and maintain proper fluid balance. ADH primarily affects urine output by controlling water reabsorption and does not directly regulate acid-base balance or blood pressure. Therefore, choices A and B are incorrect because ADH does not directly influence acid-base balance or blood pressure.

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