Nokea
What is observed when aqueous silver nitrate is added to this mixture?
- A. white precipitate
- B. white solution
- C. yellow precipitate
- D. yellow solution
Correct Answer: C
Rationale: When aqueous silver nitrate is added to a mixture, a yellow precipitate forms if there are chloride ions present. This is due to the formation of silver chloride, which is insoluble in water. The reaction is AgNO3 + Cl- → AgCl↓ + NO3-. Therefore, choice C is correct.
Choice A (white precipitate) is incorrect because silver chloride is yellow, not white. Choice B (white solution) is incorrect as a precipitate forms, not a solution. Choice D (yellow solution) is incorrect because the product is a solid precipitate, not a solution.
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Which hormone is produced by the pancreas and acts on the liver to increase blood glucose levels?
- A. glucagon; liver
- B. melatonin; liver
- C. glucagon; kidney
- D. calcitonin; thyroid
Correct Answer: A
Rationale: The correct answer is A: glucagon is produced by the pancreas and acts on the liver to increase blood glucose levels. Glucagon triggers the liver to break down glycogen into glucose, releasing it into the bloodstream. Melatonin is a hormone produced by the pineal gland and is not involved in glucose regulation. Glucagon does not act on the kidney but specifically targets the liver. Calcitonin is produced by the thyroid gland and plays a role in calcium regulation, not glucose metabolism.
The patient is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What manifestation should the nurse expect to find?
- A. Decreased body weight
- B. Decreased urinary output
- C. Increased plasma osmolality
- D. Increased serum sodium levels
Correct Answer: B
Rationale: In SIADH, inappropriate ADH secretion causes water retention, leading to decreased urine output and dilutional hyponatremia.
The liberation of proteins to free amino acids (final digestive step) occur in all of the following EXCEPT:
- A. enterocyte cytoplasm
- B. brush border
- C. small intestine lumen
- D. stomach
Correct Answer: D
Rationale: The liberation of proteins to free amino acids occurs primarily in the small intestine lumen. In the stomach, proteins are broken down into smaller peptides but not fully liberated to amino acids. The enterocyte cytoplasm is where amino acids are absorbed. The brush border aids in absorption but doesn't release proteins to amino acids. Therefore, the correct answer is D (stomach) as it is not the site for the final step of protein digestion.
Which nerve is NOT involved in the efferent (motor) swallow reflex?
- A. trigeminal
- B. vagus
- C. facial
- D. hypoglossal
Correct Answer: B
Rationale: The correct answer is B: vagus. The efferent (motor) swallow reflex involves motor nerves that control swallowing muscles. The vagus nerve (cranial nerve X) is primarily responsible for the afferent (sensory) component of the swallow reflex, while the efferent component is carried out by other cranial nerves such as the glossopharyngeal (IX), facial (VII), and hypoglossal (XII) nerves. Therefore, the vagus nerve is not directly involved in the efferent motor response during swallowing. Trigeminal (V), facial (VII), and hypoglossal (XII) nerves play essential roles in the motor aspects of swallowing, making them incorrect choices.
A patient is admitted to the medical unit with possible Graves' disease (hyperthyroidism). Which assessment finding supports this diagnosis?
- A. Periorbital edema
- B. Bradycardia
- C. Exophthalmos
- D. Hoarse voice
Correct Answer: C
Rationale: Exophthalmos, or bulging eyes, is a common and distinguishing feature of Graves' disease, a form of hyperthyroidism.