Nursing Elites

1. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

2. What type of muscle is found in the walls of hollow organs like the intestines?

• A. Cardiac muscle
• B. Smooth muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: Smooth muscle is the correct type of muscle found in the walls of hollow organs like the intestines. It is responsible for movements such as peristalsis, aiding in the movement of food and other materials through the digestive system. Cardiac muscle (Choice A) is found in the heart and is responsible for the heart's contractions, not in hollow organs like the intestines. Skeletal muscle (Choice C) is attached to bones and responsible for voluntary movements, not in hollow organ walls. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control, unlike smooth muscle in hollow organ walls.

3. Where does bile, a substance that aids in digesting fats, originate from?

• A. Stomach
• B. Pancreas
• C. Liver
• D. Gallbladder

Correct answer: C

Rationale: Bile is produced by the liver to aid in the digestion and absorption of fats. The liver produces bile, which is then stored and concentrated in the gallbladder before being released into the small intestine to facilitate fat digestion. The stomach (option A) is responsible for the initial digestion of food through gastric juices but does not produce bile. The pancreas (option B) secretes digestive enzymes like lipase to further break down fats in the small intestine but does not produce bile. The gallbladder (option D) stores and concentrates bile but does not produce it.

4. What happens to the internal energy of a system when it performs work on its surroundings?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Insufficient information.

Correct answer: B

Rationale: When a system performs work on its surroundings, it loses energy in the form of work done. This results in a decrease in the internal energy of the system. Work done by the system is considered as negative work, leading to a decrease in internal energy. Therefore, the correct answer is that the internal energy decreases when a system performs work on its surroundings. Choice A is incorrect as the internal energy decreases, not increases. Choice C is incorrect because the internal energy changes due to the work done. Choice D is incorrect because the information provided is sufficient to determine the change in internal energy.

5. 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.

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