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. Salts are formed by the reaction between:

• A. Two acids
• B. An acid and a base
• C. Two bases
• D. A metal and a nonmetal only

Correct answer: B

Rationale: Salts are formed by the reaction between an acid and a base. This reaction is known as a neutralization reaction. In this reaction, the acid donates a proton (H+) to the base, resulting in the formation of water and a salt as the products. Choice A is incorrect because salts are not formed by the reaction of two acids. Choice C is incorrect as salts are not produced by the reaction of two bases. Choice D is incorrect because while salts can be formed from the reaction between a metal and a nonmetal, it is not the only way salts are produced.

3. Which phenomenon describes the separation of light into its component colors when passing through a prism?

• A. Refraction
• B. Diffraction
• C. Dispersion
• D. Reflection

Correct answer: C

Rationale: Dispersion is the phenomenon that describes the separation of light into its component colors when passing through a prism. When white light enters a prism, it is refracted at different angles depending on its wavelength, causing the colors to spread out. Refraction is the bending of light as it passes from one medium to another, not the separation of colors. Diffraction is the bending of light around obstacles, not the separation of colors. Reflection is the bouncing back of light rays from a surface, not the separation of colors. In the context of a prism, dispersion plays a key role in the creation of a spectrum of colors by separating the different wavelengths present in white light.

4. How do organisms maintain homeostasis?

• A. By increasing their body temperature, blood pH, and fluid balance.
• B. By undergoing biochemical processes and absorbing energy to increase entropy.
• C. By undergoing biochemical processes to maintain the order of their external environment.
• D. By using free energy and matter via biochemical processes to work against entropy.

Correct answer: D

Rationale: Organisms maintain homeostasis by utilizing free energy and matter through biochemical processes to counteract entropy, which helps in preserving internal stability. This process involves maintaining a balance within the organism's internal environment despite external changes, ensuring proper functioning and survival. Choice A is incorrect because increasing body temperature, blood pH, and fluid balance alone do not define the comprehensive process of maintaining homeostasis. Choice B is incorrect as absorbing energy to increase entropy goes against the concept of maintaining internal stability. Choice C is incorrect as maintaining the order of the external environment does not directly contribute to the organism's internal stability and balance.

5. In endocrine regulation, the feedback loop is a critical concept. In a negative feedback loop, high levels of a hormone can result in:

• A. Further stimulating the release of the same hormone
• B. Inhibiting the release of the hormone or its production
• C. Having no effect on the hormone's regulation
• D. Increasing the need for another hormone entirely

Correct answer: B

Rationale: In a negative feedback loop, high levels of a hormone will inhibit the release of the hormone or its production. This mechanism is crucial for maintaining homeostasis by preventing excessive levels of hormones in the body. When a hormone reaches a certain concentration, it triggers the body to decrease its production or release, thereby ensuring a balance within the system. Choice A is incorrect because a negative feedback loop aims to counteract high hormone levels, not further stimulate them. Choice C is incorrect as high hormone levels do have an effect by triggering the feedback loop. Choice D is incorrect as the negative feedback loop operates within the same hormone system rather than increasing the need for an entirely different hormone.

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