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. Where does fertilization, the fusion of sperm and egg, typically occur in the female reproductive system?

• A. Ovary
• B. Fallopian tube
• C. Uterus
• D. Vagina

Correct answer: B

Rationale: Fertilization typically occurs in the fallopian tube. After ovulation, the egg is released from the ovary and travels through the fallopian tube, where it may encounter sperm for fertilization. The fallopian tube is the site where the sperm fertilizes the egg before the fertilized egg continues its journey towards the uterus for implantation. The ovary is where the egg is produced but not where fertilization occurs. The uterus is where the fertilized egg implants and develops into a fetus, not where fertilization takes place. The vagina is part of the birth canal and not the typical site for fertilization in the female reproductive system.

3. Which type of immunity does the MMR vaccine provide?

• A. Artificial/active
• B. Artificial/passive
• C. Natural/active
• D. Natural/passive

Correct answer: A

Rationale: The correct answer is A: Artificial/active. The MMR vaccine provides artificial/active immunity. It works by introducing a weakened or killed form of the virus to trigger the body's immune response, leading to the production of antibodies that offer long-lasting protection against measles, mumps, and rubella. Artificial immunity is obtained through medical intervention, such as vaccination, while active immunity involves the immune system's direct response to an antigen. Choices B, C, and D are incorrect because the MMR vaccine does not provide passive immunity nor is it acquired naturally; instead, it stimulates the body to actively produce its immune response.

4. Urine, the liquid waste product of the body, travels from the kidneys to the bladder through tubes called:

• A. Ureters
• B. Urethra
• C. Nephrons
• D. Renal pelvis

Correct answer: A

Rationale: The correct answer is 'Ureters.' Ureters are tubes that connect each kidney to the bladder. They transport urine from the kidneys to the bladder for storage before excretion. The urethra, which is not the correct answer, is responsible for carrying urine from the bladder out of the body. Nephrons, another incorrect choice, are microscopic units within the kidneys that filter blood and produce urine. The renal pelvis, also an incorrect choice, is a structure in the kidney where urine collects before moving into the ureters for further passage to the bladder.

5. What is the process of splitting a heavy nucleus into smaller nuclei, releasing a vast amount of energy called?

• A. Nuclear fusion
• B. Nuclear fission
• C. Radioactive decay
• D. Chain reaction

Correct answer: B

Rationale: The correct answer is B: Nuclear fission. Nuclear fission is the process of splitting a heavy nucleus into smaller nuclei, releasing a vast amount of energy. This process is commonly used in nuclear power plants and nuclear weapons. It is a controlled chain reaction that generates energy. Option A, Nuclear fusion, is the process of combining two light nuclei to form a heavier nucleus, releasing energy. This process powers the sun and other stars. Option C, Radioactive decay, is the process by which an unstable atomic nucleus loses energy by emitting radiation. Option D, Chain reaction, is a self-sustaining reaction where the products of one reaction event stimulate further reaction events. While chain reactions can occur in both nuclear fission and fusion, the specific process of splitting a heavy nucleus into smaller ones is known as nuclear fission.

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