Nursing Elites

1. Enzymes are ________ molecules that serve as _______ for certain biological reactions.

• A. Enzymes are irrelevant molecules that serve as suppressors for certain biological reactions.
• B. Enzymes are acidic molecules that serve as catalysts for certain biological reactions.
• C. Enzymes are lipid molecules that serve as catalysts for certain biological reactions.
• D. Enzymes are protein molecules that serve as catalysts for certain biological reactions.

Correct answer: D

Rationale: Enzymes are protein molecules that serve as catalysts for certain biological reactions. Enzymes are biological molecules that speed up chemical reactions in living organisms by lowering the activation energy required for the reactions to occur. They are typically proteins that have specific shapes and active sites that allow them to interact with specific substrates and facilitate reactions without being consumed themselves. The other choices are incorrect because enzymes are not irrelevant, acidic, or lipid molecules; they are primarily proteins known for their catalytic properties.

2. Which of the following is an effect of high blood pressure?

• A. Smoking
• B. Excessive dietary salt
• C. Renal vessel damage
• D. Older age

Correct answer: C

Rationale: The correct answer is C: Renal vessel damage. High blood pressure can lead to damage in blood vessels throughout the body, including the kidneys. When blood vessels in the kidneys are affected, it can impair kidney function and potentially lead to kidney disease. Smoking (Choice A) and excessive dietary salt (Choice B) can contribute to high blood pressure but are not direct effects of high blood pressure itself. Older age (Choice D) is a risk factor for developing high blood pressure but is not a direct effect of high blood pressure.

3. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

4. Which of the following terms means close to the trunk of the body?

• A. Superficial
• B. Sagittal
• C. Proximal
• D. Distal

Correct answer: C

Rationale: The term 'proximal' means situated close to the point of attachment or the center of the body, such as close to the trunk. In anatomical terms, proximal is used to describe locations that are closer to the body's center or point of reference. 'Superficial' refers to something situated near the surface, 'sagittal' refers to a plane that divides the body into left and right portions, and 'distal' refers to a position away from the center or point of reference. Therefore, 'proximal' is the correct term to indicate a position close to the trunk of the body.

5. When a blockage forms in a coronary artery, reducing blood flow to the heart muscle, this condition is called:

• A. Atherosclerosis
• B. Myocardial infarction
• C. Angina pectoris
• D. Heart murmur

Correct answer: B

Rationale: A myocardial infarction, commonly known as a heart attack, occurs when a blockage forms in a coronary artery, leading to reduced blood flow to the heart muscle. Atherosclerosis refers to the buildup of plaque in the arteries, which can lead to blockages but is not the name for this specific condition. Angina pectoris is chest pain or discomfort due to inadequate blood supply to the heart muscle, which is a precursor to a heart attack but not the name for this condition. A heart murmur is an abnormal sound heard during a heartbeat, often due to turbulent blood flow, and is not related to a blockage in a coronary artery.

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