Nursing Elites

1. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: This requires a double conversion: millimoles to milligrams and liters to deciliters. 1 millimole is equal to 180.15 milligrams, and 1 liter is equal to 10 deciliters. Multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol) and then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL.

2. The term "bioaccumulate" refers to...

• A. The natural decomposition of organic materials.
• B. The buildup of a substance in living organisms.
• C. The contamination of seawater with chemical pollutants.
• D. The physical entanglement of animals with plastic debris.

Correct answer: B

Rationale: The passage describes microplastics entering food chains and accumulating in organisms, aligning with bioaccumulation.

3. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: The correct answer is D: Trypsin. Trypsin is an enzyme produced by the pancreas and secreted into the small intestine where it plays a key role in breaking down proteins into smaller peptides and amino acids. Pepsin is produced in the stomach and specifically acts on protein, not in the small intestine. Lipase is an enzyme that breaks down fats, not proteins. Amylase is an enzyme that breaks down carbohydrates, not proteins. Therefore, Trypsin is the enzyme responsible for breaking down proteins into amino acids in the small intestine.

4. Kidney stones are formed when:

• A. Excess water is not reabsorbed
• B. Minerals crystallize in the urine
• C. Electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: The correct answer is B: "Minerals crystallize in the urine." Kidney stones are formed when minerals in the urine combine and crystallize, forming solid masses. This process can occur due to various factors, such as high levels of calcium, oxalate, or uric acid in the urine. Options A and C are not directly related to the formation of kidney stones. Option D is incorrect because not all the statements are true; only minerals crystallizing in the urine lead to kidney stone formation.

5. Which respiratory structure is responsible for vocalization and sound production?

• A. Trachea
• B. Larynx
• C. Bronchi
• D. Alveoli

Correct answer: B

Rationale: The correct answer is B: Larynx. The larynx, also known as the voice box, is the respiratory structure responsible for vocalization and sound production. It contains the vocal cords, which vibrate as air passes through, producing sound. The trachea (A) is the windpipe that carries air to and from the lungs. The bronchi (C) are the main airways that branch off from the trachea into the lungs. The alveoli (D) are tiny air sacs in the lungs where gas exchange occurs, but they are not directly involved in vocalization.

6. A patient needs to take 2 tablets for every 30 pounds of body weight. If they weigh 150 pounds, how many tablets should they take?

• A. 5
• B. 10
• C. 15
• D. 20

Correct answer: A

Rationale: Divide the patient's weight (150 pounds) by the ratio denominator (30 pounds/tablet) to get 5 tablets.

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