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 a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (H₂CO₃)

Correct answer: B

Rationale: Hydrochloric acid (HCl) is a strong acid because it completely ionizes in water to produce hydrogen ions, leading to a high concentration of H⁺ ions in solution. This characteristic makes it a strong acid. Acetic acid (CH₃COOH), citric acid, and carbonic acid (H₂CO₃) are weak acids as they only partially ionize in water, resulting in a lower concentration of H⁺ ions compared to strong acids. Therefore, hydrochloric acid is the correct choice as a strong acid.

3. Which type of muscle is responsible for moving the skeleton?

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

Correct answer: B

Rationale: Skeletal muscle is the correct answer as it is responsible for moving the skeleton. Skeletal muscles are under voluntary control, meaning they can be consciously controlled by the individual. Cardiac muscle (Choice A) is found in the heart and is responsible for pumping blood, not moving the skeleton. Smooth muscle (Choice C) is found in internal organs and is responsible for involuntary movements like digestion. Voluntary muscle (Choice D) is not a specific type of muscle; it refers to muscles that can be consciously controlled, which includes skeletal muscles.

4. As a nursing student triaging a patient, which of the following is an example of quantitative data you can gather?

• A. The patient says he feels pain.
• B. The patient says he has stabbing pain.
• C. The patient's temperature is 101.7°F.
• D. The patient reports that he had a fever yesterday.

Correct answer: C

Rationale: The corrected choice C, 'The patient's temperature is 101.7°F,' is an example of quantitative data because it provides a specific numerical value that can be measured. Quantitative data involves measurable and numerical information, making it crucial for assessing a patient's condition objectively. Choices A and B are subjective statements based on the patient's perception of pain and its description, which are qualitative data and may vary between individuals. Choice D provides historical information about a fever, which is not a current measurable value and does not constitute quantitative data for immediate assessment.

5. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folds and coils of the protein's polypeptide backbone. This level of structure is characterized by the formation of alpha helices and beta sheets, which are stabilized by hydrogen bonds between amino acids along the polypeptide chain. Choice A, Primary, refers to the linear sequence of amino acids in the protein. Choice C, Tertiary, involves the 3D folding of the entire polypeptide chain. Choice D, Quaternary, pertains to the arrangement of multiple polypeptide subunits in a protein complex.

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