Nursing Elites

1. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

2. In the 18th century, women were more likely to die in childbirth compared to the 21st century. What is a possible explanation for why women are less likely to die in childbirth in the present age?

• A. Doctors are better equipped to perform cesarean sections.
• B. Doctors have more tools to monitor mothers during childbirth, enabling earlier detection of complications.
• C. Doctors practice good hand hygiene to prevent the transfer of germs and infections.
• D. All of the statements above provide reasonable explanations for the decrease in mortality during childbirth.

Correct answer: D

Rationale: All options are valid explanations for the decrease in maternal mortality during childbirth in modern times. Improved medical knowledge and technology have enabled doctors to perform cesarean sections more effectively, monitor mothers more closely for early detection of complications, and maintain better hygiene practices to reduce the risk of infections. Therefore, all the given statements collectively contribute to the reduction in maternal mortality rates in the 21st century.

3. What is the main function of the respiratory system?

• A. To absorb nutrients
• B. To exchange gases
• C. To transport oxygen
• D. To regulate blood pressure

Correct answer: B

Rationale: The main function of the respiratory system is to exchange gases, primarily oxygen and carbon dioxide, between the body and the environment. Option A, 'To absorb nutrients,' is incorrect because the respiratory system is not involved in nutrient absorption. Option C, 'To transport oxygen,' is partially correct, but it doesn't encompass the complete role of gas exchange that includes both oxygen and carbon dioxide. Option D, 'To regulate blood pressure,' is incorrect as blood pressure regulation is primarily controlled by the cardiovascular system, not the respiratory system.

4. An object is moving in a circle at constant speed. Is there a net force acting on it?

• A. Yes, always
• B. No, never
• C. Only if its speed is changing
• D. Only if its direction is changing

Correct answer: D

Rationale: When an object is moving in a circle at a constant speed, there is a net force acting on it. This net force is directed towards the center of the circle and is responsible for continuously changing the direction of the object's velocity, even though the speed remains constant. Therefore, the correct answer is D because the net force is required to change the direction of the object's motion in a circular path. Choices A, B, and C are incorrect because the presence of a net force is necessary to continuously change the object's direction as it moves in a circular path, irrespective of changes in speed.

5. Which of the following is NOT a function of the cardiovascular system?

• A. Transporting oxygen to cells
• B. Maintaining blood pressure
• C. Carrying waste products to the kidneys for removal
• D. Initiating the immune response

Correct answer: D

Rationale: The cardiovascular system is responsible for transporting oxygen to cells (A), maintaining blood pressure (B), and carrying waste products to the kidneys for removal (C). Initiating the immune response (D) is not a function of the cardiovascular system. The immune response is primarily carried out by the immune system, which includes organs like the spleen, thymus, and lymph nodes. Therefore, option D is the correct answer as it pertains to a function outside the scope of the cardiovascular system, making it the odd one out among the given choices.

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