Nursing Elites

1. A pediatrician notes that an infant's cartilage is disappearing and being replaced by bone. What process has the doctor observed?

• A. Mineralization
• B. Ossification
• C. Osteoporosis
• D. Calcification

Correct answer: B

Rationale: The doctor has observed the process of ossification. Ossification is the natural process where cartilage in the body is replaced by bone. This process takes place during fetal development, growth, and bone fracture healing. Ossification involves the formation of bone tissue by depositing minerals like calcium and phosphorus within the cartilage matrix, leading to the development of a bone structure. Choice A, mineralization, refers to the process of forming mineral deposits in tissues, but it does not involve the replacement of cartilage by bone. Choice C, osteoporosis, is a condition characterized by bone density loss and increased fragility, not the natural process of cartilage replacement by bone. Choice D, calcification, is the process of deposition of calcium salts in various tissues, but it does not specifically involve the replacement of cartilage by bone as in ossification.

2. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

3. What is the role of DNA in heredity?

• A. Provides energy for the cell
• B. Determines the structure and function of proteins
• C. Stores and transmits genetic information
• D. Controls cell division

Correct answer: C

Rationale: DNA (deoxyribonucleic acid) is a molecule that carries the genetic instructions used in the growth, development, functioning, and reproduction of all living organisms. It stores genetic information in the form of a code made up of four chemical bases: adenine (A), thymine (T), cytosine (C), and guanine (G). This genetic information is passed down from parents to offspring and is responsible for determining an organism's traits and characteristics. DNA's primary role is to store and transmit genetic information, making option C the correct answer. DNA does not provide energy for the cell (option A), determine the structure and function of proteins (option B), or control cell division (option D).

4. What is the scientific name for the building blocks of proteins?

• A. Residues
• B. Monomers
• C. Macromolecules
• D. Peptides

Correct answer: B

Rationale: Rationale: - Proteins are made up of long chains of amino acids. - Amino acids are the building blocks of proteins and are considered monomers. - Monomers are the individual units that can be linked together to form larger molecules called polymers. - In the context of proteins, amino acids are the monomers that are linked together through peptide bonds to form polypeptide chains, which then fold into functional proteins. - Residues refer to the specific amino acids within a protein after certain modifications or cleavages have occurred, so it is not the correct term for the building blocks of proteins. - Macromolecules are large molecules made up of smaller subunits, such as proteins, nucleic acids, and carbohydrates, but they are not the specific building blocks of proteins. - Peptides are short chains of amino acids linked by peptide bonds, but they are not the fundamental building blocks of proteins.

5. What is the name of the muscular ring that controls the passage of food from the esophagus to the stomach?

• A. Pyloric sphincter
• B. Cardiac sphincter
• C. Ileocecal valve
• D. Sphincter of Oddi

Correct answer: B

Rationale: The correct answer is the Cardiac sphincter (lower esophageal sphincter). It is situated at the junction of the esophagus and the stomach, controlling the passage of food into the stomach. The cardiac sphincter opens and closes to regulate the flow of food and prevent reflux. The pyloric sphincter, on the other hand, is located between the stomach and the small intestine, not the esophagus and stomach. The ileocecal valve is positioned between the small and large intestines, while the Sphincter of Oddi is found in the duodenum, not between the esophagus and stomach.

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