Nursing Elites

1. Which of the following is NOT a common symptom of lactose intolerance?

• A. Gas
• B. Bloating
• C. Diarrhea
• D. Nausea

Correct answer: D

Rationale: A) Gas: Gas is a common symptom of lactose intolerance. When lactose is not properly digested, it can ferment in the colon, leading to the production of gas. B) Bloating: Bloating is another common symptom of lactose intolerance. The buildup of gas in the digestive system can cause bloating and discomfort. C) Diarrhea: Diarrhea is a common symptom of lactose intolerance. When lactose is not broken down in the small intestine, it can draw excess water into the colon, resulting in diarrhea. D) Nausea: Nausea is not a common symptom of lactose intolerance. While some individuals may experience mild stomach discomfort or cramps, nausea is not typically associated with lactose intolerance.

2. What is the primary function of white blood cells?

• A. To carry oxygen
• B. To fight infection
• C. To transport nutrients
• D. To transport waste

Correct answer: B

Rationale: The correct answer is B: "To fight infection." White blood cells are primarily responsible for fighting infections and foreign invaders in the body, making them a critical component of the immune system. Choice A, "To carry oxygen," is incorrect as red blood cells are responsible for oxygen transport. Choice C, "To transport nutrients," is incorrect as this function is mainly attributed to blood plasma and other specialized cells. Choice D, "To transport waste," is also incorrect as waste removal is primarily handled by the kidneys and the lymphatic system, not white blood cells.

3. Which organ plays a significant role in immune cell production and maturation?

• A. Liver
• B. Kidneys
• C. Bone marrow
• D. Spleen

Correct answer: C

Rationale: The bone marrow is the correct answer. It is the primary site for immune cell production and maturation. The bone marrow is responsible for generating various types of blood cells, including white blood cells crucial for the immune system's function. The liver, kidneys, and spleen have essential functions in the body, such as filtering blood, detoxification, and storage of blood, respectively. However, they are not primarily involved in immune cell production and maturation, making them incorrect choices for this question.

4. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

5. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

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