Nursing Elites

1. Antidiuretic hormone (ADH) plays a crucial role in regulating water balance. When ADH levels are high, what happens to urine production?

• A. Urine production increases significantly
• B. Urine production decreases to conserve water
• C. There is no change in urine production
• D. The kidneys stop producing urine altogether

Correct answer: B

Rationale: When ADH levels are high, urine production decreases to conserve water. ADH acts on the kidneys to increase water reabsorption, leading to the production of concentrated urine and conservation of water in the body. Choice A is incorrect as high ADH levels lead to increased water reabsorption, reducing urine output. Choice C is incorrect since high ADH levels do influence urine production. Choice D is incorrect as the kidneys do not stop producing urine entirely but rather adjust the reabsorption of water based on ADH levels.

2. How many amino acids can make up a protein?

• A. 10-20
• B. 50-100
• C. 100-500
• D. 1000+

Correct answer: A

Rationale: Proteins are made up of long chains of amino acids, and there are 20 standard amino acids commonly found in proteins. The sequence and arrangement of these amino acids determine the structure and function of a protein. While proteins can vary in size and complexity, the number of amino acids typically ranges from around 10 to 20 in smaller proteins to hundreds or even thousands in larger proteins. Therefore, the range of 10-20 amino acids is the most accurate representation of the number of amino acids that can make up a protein. Choices B, C, and D are incorrect as they provide ranges that are beyond the typical number of amino acids found in proteins and may lead to confusion. The correct answer is A (10-20).

3. The body's first line of defense against pathogens is the innate immune system. Which of the following is NOT a component of the innate immune system?

• A. Physical barriers like skin and mucous membranes
• B. Phagocytes that engulf and destroy pathogens
• C. Inflammatory response to isolate and contain infection
• D. Production of antibodies specific to a particular pathogen

Correct answer: D

Rationale: The production of antibodies specific to a particular pathogen is a function of the adaptive immune system, not the innate immune system. The innate immune system provides immediate, non-specific defense mechanisms against pathogens, including physical barriers, phagocytes, and inflammatory responses. Choices A, B, and C are all correct components of the innate immune system. Physical barriers like skin and mucous membranes act as the first line of defense, preventing pathogens from entering the body. Phagocytes are specialized cells that engulf and destroy pathogens, while the inflammatory response helps isolate and contain infections to prevent their spread.

4. Which type of reaction is represented by the equation A + B → AB?

• A. Synthesis
• B. Decomposition
• C. Single Replacement
• D. Double Replacement

Correct answer: A

Rationale: The correct answer is 'Synthesis.' In a synthesis reaction, two or more reactants combine to form a single product. The equation A + B → AB represents a synthesis reaction where substances A and B combine to form compound AB. Choice B, 'Decomposition,' involves a single compound breaking down into two or more simpler substances, which is not the case in this equation. Choices C and D, 'Single Replacement' and 'Double Replacement,' involve the replacement of elements in compounds or the exchange of ions between compounds, neither of which is depicted in the given equation. Thus, 'Synthesis' is the most suitable classification for the reaction A + B → AB.

5. What is the 3D structure of a protein called?

• A. Tertiary structure
• B. Secondary structure
• C. Primary structure
• D. Quaternary structure

Correct answer: A

Rationale: - Primary structure refers to the linear sequence of amino acids in a protein. - Secondary structure refers to local folded structures within a protein, such as alpha helices and beta sheets. - Tertiary structure is the overall 3D shape of a protein, which is determined by interactions between amino acid side chains and the environment. - Quaternary structure refers to the arrangement of multiple protein subunits in a protein complex. Therefore, the 3D structure of a protein is called the tertiary structure because it represents the overall folding of the protein into a specific shape.

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