Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: The correct answer is C. Autoimmune diseases are triggered by a breakdown in immune cell self-tolerance mechanisms, where the immune system fails to recognize 'self' from 'non-self' cells, leading to attacks on healthy tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact immune function, the root cause of autoimmune diseases is primarily attributed to the breakdown in self-tolerance mechanisms. This breakdown can be influenced by genetic predisposition, environmental factors, and other triggers, leading to the development of autoimmune conditions.

2. What enzyme plays a crucial role in DNA replication during the S phase of interphase?

• A. Helicase
• B. DNA polymerase
• C. Ligase
• D. Topoisomerase

Correct answer: B

Rationale: Rationale: During the S phase of interphase, DNA replication occurs. DNA polymerase is the enzyme responsible for synthesizing new DNA strands by adding nucleotides in a complementary fashion to the template strand. It plays a crucial role in replicating the entire genome accurately. Helicase unwinds the double-stranded DNA, topoisomerase relieves the tension in the DNA strands, and ligase joins the Okazaki fragments on the lagging strand. However, DNA polymerase is the enzyme directly involved in the synthesis of new DNA strands during replication.

3. Which macromolecule serves as the repository of genetic information in all living organisms?

• A. Ribonucleic acid (RNA)
• B. Deoxyribonucleic acid (DNA)
• C. Protein
• D. Carbohydrate

Correct answer: B

Rationale: Rationale: - DNA is the macromolecule that serves as the repository of genetic information in all living organisms. It carries the genetic instructions necessary for the growth, development, functioning, and reproduction of organisms. - RNA (option A) is involved in various cellular processes, including protein synthesis, but DNA is the primary molecule responsible for storing genetic information. - Proteins (option C) are essential for various cellular functions but do not serve as the primary repository of genetic information. - Carbohydrates (option D) are important for energy storage and structural support but do not store genetic information.

4. Bile, stored in the gallbladder, aids in the digestion of:

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: C

Rationale: The correct answer is C: "Fats." Bile, produced by the liver and stored in the gallbladder, plays a crucial role in the digestion and absorption of fats. When you consume fatty foods, bile is released into the small intestine to help break down the fats into smaller droplets, making it easier for enzymes to digest them. This process allows the body to absorb essential fatty acids and fat-soluble vitamins. Carbohydrates are mainly digested by enzymes like amylase in the mouth and small intestine, while proteins are broken down by enzymes like pepsin and trypsin. Vitamins are not directly digested by bile but are absorbed along with fats in the small intestine. Therefore, the correct answer is C, as bile aids in the digestion of fats.

5. Which of the following is the best guarantee that the patient’s priority needs are met?

• A. Checking with the relative of the patient
• B. Preparing a nursing care plan in collaboration with the patient
• C. Consulting with the physician
• D. Coordinating with other members of the team

Correct answer: B

Rationale: Preparing a nursing care plan in collaboration with the patient is the best guarantee that the patient's priority needs are met because it involves actively involving the patient in their own care. This approach ensures that the patient's preferences, concerns, and priorities are taken into account when planning their care. Checking with the relative of the patient, consulting with the physician, and coordinating with other team members are important aspects of patient care, but collaborating with the patient directly ensures a patient-centered approach that addresses their individual needs and preferences.

6. What is the function of the underlined phrase "with a mischievous grin" in the sentence "He approached her with a mischievous grin, his eyes twinkling"?

• A. Subject
• B. Direct object
• C. Adverbial phrase
• D. Appositive phrase

Correct answer: C

Rationale: The underlined phrase modifies the verb "approached" by describing his manner, making it an adverbial phrase.

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