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. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. What is the role of RNA in the regulation of gene expression?

• A. Provides energy for the process
• B. Controls the timing and location of protein synthesis
• C. Translates the genetic code into amino acids
• D. Stores genetic information

Correct answer: B

Rationale: A) RNA does not provide energy for the process of gene expression. Energy is typically provided by molecules like ATP. B) RNA plays a crucial role in controlling the timing and location of protein synthesis through processes like transcriptional regulation, RNA splicing, and post-transcriptional modifications. It helps determine when and where specific proteins are produced in the cell. C) While mRNA translates the genetic code into amino acids during the process of translation, this is not the primary role of RNA in the regulation of gene expression. D) RNA does not store genetic information in the same way that DNA does. DNA is the molecule responsible for storing genetic information in the form of genes. Therefore, option B is the most appropriate choice as it accurately describes the role of RNA in regulating gene expression.

4. How is power related to work and time?

• A. Power = Work ÷ Time
• B. Power = Work × Time
• C. Power = Work + Time
• D. Power = Work - Time

Correct answer: A

Rationale: Power is defined as the rate at which work is done or the amount of work done per unit of time. The correct formula to relate power, work, and time is Power = Work ÷ Time. This formula shows that power is calculated by dividing the amount of work done by the time taken to do that work, indicating the rate at which work is being done. Choice B (Power = Work × Time) is incorrect because multiplying work and time does not yield a measure of power. Choice C (Power = Work + Time) is incorrect as adding work and time does not define power. Choice D (Power = Work - Time) is also incorrect because subtracting work and time does not relate to the concept of power.

5. When sodium hydroxide (NaOH) reacts with hydrochloric acid (HCl), the resulting product is:

• A. Hydrogen gas and sodium chloride (NaCl)
• B. Chlorine gas and sodium oxide (Na2O)
• C. Sodium metal (Na) and water (H2O)
• D. No reaction occurs.

Correct answer: A

Rationale: When sodium hydroxide (NaOH) reacts with hydrochloric acid (HCl), a neutralization reaction occurs. The products of this reaction are water (H2O) and a salt, which is sodium chloride (NaCl). The chemical equation for this reaction is: NaOH + HCl -> NaCl + H2O. Choice B is incorrect because chlorine gas and sodium oxide are not the products of this reaction. Choice C is incorrect as sodium metal and water are not the products formed in this neutralization reaction. Choice D is incorrect because a reaction does occur between NaOH and HCl, resulting in the formation of NaCl and H2O. Therefore, the correct answer is A: Hydrogen gas and sodium chloride (NaCl).

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