Nursing Elites

1. Antidiuretic hormone (ADH) helps the kidneys regulate:

• A. Acid-base balance
• B. Blood pressure
• C. Urine output by controlling water reabsorption
• D. All of the above

Correct answer: C

Rationale: The correct answer is C: 'Urine output by controlling water reabsorption.' Antidiuretic hormone (ADH) is released by the pituitary gland and acts on the kidneys to regulate water reabsorption. When ADH levels are high, the kidneys reabsorb more water, leading to concentrated urine and decreased urine output. This helps maintain the body's water balance and prevent dehydration. While ADH indirectly influences blood pressure by regulating blood volume, its primary function is to control water balance, not acid-base balance. Therefore, the correct answer is C.

2. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The correct answer is C: Muscles. Insulin is a hormone produced by the pancreas that plays a crucial role in regulating blood sugar levels. Its main target organs are the liver, muscles, and adipose tissue. Insulin acts on muscle cells to promote glucose uptake and storage as glycogen, helping to lower blood sugar levels. While the liver and adipose tissue are also important targets for insulin, muscles are particularly significant for glucose utilization and storage. Therefore, muscles are considered the main target organ for insulin in the body.

3. A nurse needs to dilute 2 milliliters of a concentrated medication with 8 milliliters of sterile water. What is the final concentration of the solution in percent?

• A. 16.67%
• B. 20%
• C. 25%
• D. 50%

Correct answer: B

Rationale: Calculate the total volume of the solution (2 ml + 8 ml = 10 ml). Then, divide the volume of the concentrated medication by the total volume and multiply by 100%: (2 ml / 10 ml) * 100% = 20%.

4. What is the importance of RNA splicing?

• A. Removes introns from the mRNA molecule
• B. Adds the poly-A tail to the mRNA molecule
• C. Activates the mRNA molecule for translation
• D. Modifies the structure of the protein

Correct answer: A

Rationale: Rationale: A) RNA splicing is a crucial process in gene expression where non-coding regions called introns are removed from the pre-mRNA molecule, and the remaining coding regions called exons are joined together to form the mature mRNA molecule. This process ensures that only the protein-coding sequences are retained in the mRNA for translation, allowing for the production of functional proteins. Therefore, option A is the correct answer as it accurately describes the importance of RNA splicing in generating mature mRNA molecules for protein synthesis. B) Adding the poly-A tail to the mRNA molecule is a post-transcriptional modification that occurs after RNA splicing and is not directly related to the process of removing introns. C) Activating the mRNA molecule for translation is typically achieved through the addition of a 5' cap and the poly-A tail, rather than through RNA splicing. D) Modifying the structure of the protein is not directly

5. Which of the following organelles is responsible for the production of proteins in the cell?

• A. Ribosomes
• B. Golgi apparatus
• C. Mitochondria
• D. Lysosomes

Correct answer: A

Rationale: The correct answer is A: Ribosomes. Ribosomes are the organelles responsible for protein synthesis in the cell. They are found in both prokaryotic and eukaryotic cells and can be free-floating in the cytoplasm or attached to the endoplasmic reticulum. Ribosomes read the messenger RNA (mRNA) and translate the genetic code into proteins through a process called translation. The Golgi apparatus is involved in processing and packaging proteins for secretion, while mitochondria are responsible for energy production. Lysosomes are involved in digestion and waste removal within the cell.

6. Which of the following epithelial tissues lines the stratified squamous epithelium of the esophagus, providing a protective barrier against abrasion from food passage?

• A. Simple squamous epithelium
• B. Stratified squamous epithelium
• C. Simple cuboidal epithelium
• D. Stratified cuboidal epithelium

Correct answer: B

Rationale: The correct answer is B: Stratified squamous epithelium. The esophagus is a part of the digestive system that undergoes constant abrasion from the passage of food. The presence of stratified squamous epithelium is crucial in providing protection against this abrasion. Simple squamous epithelium (option A) is a single layer of flat cells and is not suitable for this function. Simple cuboidal epithelium (option C) is found in glands and ducts, not in structures exposed to mechanical stress like the esophagus. Stratified cuboidal epithelium (option D) is rare in the body and would not be found in the esophagus. Therefore, the correct answer is B because stratified squamous epithelium is specifically adapted to provide protection against abrasion in the esophagus.

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