Nursing Elites

1. 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.

2. Which of the following is the cytoplasmic organelle that contains fluid-filled tubules for carrying and transporting substances?

• A. Endoplasmic reticulum
• B. Golgi apparatus
• C. Mitochondria
• D. Nucleus

Correct answer: A

Rationale: The endoplasmic reticulum is the correct answer. It is the cytoplasmic organelle that contains fluid-filled tubules responsible for carrying and transporting substances within the cell. The endoplasmic reticulum plays a crucial role in protein synthesis, lipid metabolism, and detoxification processes. The Golgi apparatus, although important in modifying, sorting, and packaging proteins for secretion or for use within the cell, does not primarily contain fluid-filled tubules for carrying and transporting substances. Mitochondria are responsible for generating ATP through cellular respiration, not for carrying and transporting substances. The nucleus contains the cell's genetic material and is involved in regulating cellular activities but does not contain fluid-filled tubules for transportation.

3. Certain medications can suppress the immune system to treat autoimmune diseases or prevent organ rejection after transplants. What is a potential risk associated with immunosuppressive drugs?

• A. Increased risk of developing allergies
• B. Increased susceptibility to infections
• C. Both A and B
• D. Neither A nor B

Correct answer: B

Rationale: Immunosuppressive drugs work by suppressing the immune system's activity, which can increase the risk of infections as the body's ability to fight off pathogens is compromised. While allergies can be a side effect of some medications, the primary concern with immunosuppressive drugs is the increased susceptibility to infections. Therefore, the correct answer is B, increased susceptibility to infections. Choice A, 'Increased risk of developing allergies,' is incorrect as the primary risk associated with immunosuppressive drugs is not related to allergies. Choice C, 'Both A and B,' is incorrect as the main concern is the increased susceptibility to infections rather than developing allergies. Choice D, 'Neither A nor B,' is incorrect as there is a known risk of increased susceptibility to infections when using immunosuppressive drugs.

4. Which of the following terms refers to a muscle twitch, a single forceful contraction of a muscle fiber?

• A. Tetanus
• B. Tremor
• C. Fasciculation
• D. Rigidity

Correct answer: C

Rationale: The correct term for a muscle twitch, a single forceful contraction of a muscle fiber, is 'Fasciculation' (choice C). Fasciculation specifically describes this phenomenon. 'Tetanus' (choice A) refers to sustained muscle contraction, 'Tremor' (choice B) indicates a shaky or quivering movement, and 'Rigidity' (choice D) denotes stiffness or inflexibility in muscles. Therefore, choices A, B, and D are incorrect in the context of a single forceful contraction of a muscle fiber.

5. Which of the following statements regarding macrophages is incorrect?

• A. They are found abundantly in the blood
• B. They are larger than neutrophils
• C. They are long-lived
• D. They are made in the bone marrow as monocytes, called macrophages once they reach organs

Correct answer: A

Rationale: The correct answer is A. Macrophages are not found abundantly in the blood; they are present in tissues and organs. Macrophages are tissue-resident immune cells that play a key role in immune responses and are derived from monocytes produced in the bone marrow. Choice B is correct as macrophages are larger than neutrophils. Choice C is correct as macrophages are long-lived cells. Choice D is correct as macrophages originate in the bone marrow as monocytes and differentiate into macrophages once they migrate to various tissues and organs.

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