Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. In an SN2 reaction, what affects the rate of the reaction?

• A. Only the concentration of the nucleophile
• B. Only the concentration of the electrophile
• C. Neither the concentration of the nucleophile nor the electrophile
• D. Both the concentration of the nucleophile and the electrophile

Correct answer: D

Rationale: In an SN2 reaction, the rate of the reaction is affected by both the concentration of the nucleophile and the electrophile. The rate-determining step involves the nucleophile attacking the electrophile, so the concentrations of both species will impact the reaction rate. Increasing the concentration of the nucleophile increases the frequency of nucleophilic attacks, while increasing the concentration of the electrophile provides more opportunities for the nucleophile to react. Therefore, the correct answer is that both the concentration of the nucleophile and the electrophile affect the rate of the SN2 reaction. Choices A, B, and C are incorrect as they do not consider the interplay between the nucleophile and the electrophile in determining the overall reaction rate in an SN2 mechanism.

3. What are substances that stimulate adaptive immunity called?

• A. Peptides
• B. Phagocytes
• C. Prions
• D. Platelets

Correct answer: A

Rationale: Substances that stimulate adaptive immunity are called peptides. Peptides are short chains of amino acids that play a crucial role in activating the immune response by interacting with immune cells such as T cells and B cells. Peptides are important in antigen presentation and recognition, leading to the development of specific immune responses against pathogens. Choice B, phagocytes, are cells that engulf and digest pathogens but are not substances that stimulate adaptive immunity. Choice C, prions, are infectious agents made of misfolded proteins and are not related to stimulating adaptive immunity. Choice D, platelets, are cell fragments involved in blood clotting and have no direct role in stimulating adaptive immunity.

4. What are stem cells that can develop into many different cell types, but not a complete organism, known as?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: C

Rationale: Pluripotent stem cells are capable of developing into many different cell types, but they cannot form a complete organism. Totipotent stem cells have the ability to give rise to all cell types in an organism, including extraembryonic tissues, enabling them to form a complete organism. Multipotent stem cells can differentiate into a limited range of cell types. Hematopoietic stem cells specifically give rise to blood cells.

5. What is the unit of measurement for density?

• A. Grams per liter (g/L)
• B. Kilograms per cubic meter (kg/m³)
• C. Pounds per square inch (psi)
• D. Newtons per meter (N/m)

Correct answer: A

Rationale: Density is defined as mass per unit volume. The most commonly used unit for density in the metric system is grams per liter (g/L). Kilograms per cubic meter (kg/m³) is also a common unit for density, but grams per liter is more frequently used in everyday measurements. Pounds per square inch (psi) is a unit of pressure, not density. Newtons per meter (N/m) is a unit of force per unit length, not density.

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