Nursing Elites

1. Which muscular pouch in the upper left abdomen stores food after swallowing and begins mechanical and chemical digestion?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: B

Rationale: The correct answer is B: Stomach. The stomach is the muscular pouch in the upper left abdomen that stores food after swallowing and begins mechanical and chemical digestion. It secretes gastric juices containing enzymes and hydrochloric acid to break down food particles. The esophagus is a muscular tube that carries food from the mouth to the stomach, while the small intestine and large intestine are primarily involved in the absorption of nutrients and water, respectively. Therefore, the stomach is the organ responsible for the described functions, making it the correct answer in this context.

2. Which hormone is responsible for lowering blood sugar levels?

• A. Glucagon
• B. Insulin
• C. Adrenaline
• D. Cortisol

Correct answer: B

Rationale: Insulin is the hormone responsible for lowering blood sugar levels. It is produced by the pancreas and facilitates the entry of glucose into cells, thereby reducing blood sugar levels. Glucagon, adrenaline, and cortisol have roles in increasing blood sugar levels through various mechanisms. Glucagon raises blood sugar levels by stimulating the liver to release stored glucose, adrenaline increases blood sugar in fight-or-flight responses, and cortisol raises blood sugar levels as part of the stress response. Therefore, in the context of lowering blood sugar levels, insulin is the correct answer.

3. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

4. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

5. What type of epithelium lines the inner surface of blood vessels?

• A. Simple squamous epithelium
• B. Simple columnar epithelium
• C. Stratified squamous epithelium
• D. Stratified columnar epithelium

Correct answer: A

Rationale: The correct answer is simple squamous epithelium (Choice A). The inner surface of blood vessels is lined by a single layer of flattened cells, known as simple squamous epithelium. This epithelium type is thin and allows for efficient diffusion and filtration, which is essential for the exchange of gases and nutrients across blood vessel walls. Simple columnar epithelium (Choice B) is typically found in the lining of the gastrointestinal tract and is responsible for absorption and secretion. Stratified squamous epithelium (Choice C) is commonly found in the skin, providing protection against mechanical stress. Stratified columnar epithelium (Choice D) is not a characteristic epithelium type found in the lining of blood vessels, as it is more commonly present in specific regions of the body like parts of the male urethra and the conjunctiva of the eye.

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