Nursing Elites

1. What enzymes do lysosomes contain, leading to their nickname as the cell's 'suicide bags'?

• A. Hydrolytic enzymes
• B. Ligases (bonding enzymes)
• C. Transferases (molecule transfer)
• D. Oxidoreductases (redox reactions)

Correct answer: A

Rationale: Lysosomes are organelles filled with hydrolytic enzymes that break down proteins, nucleic acids, lipids, and carbohydrates. These enzymes aid in digesting cellular waste and foreign substances, hence the term 'suicide bags' due to their involvement in cell degradation and recycling. Ligases are enzymes that catalyze the joining of two large molecules by forming a new chemical bond, not present in lysosomes. Transferases are enzymes that catalyze the transfer of functional groups from one molecule to another, not found in lysosomes. Oxidoreductases are enzymes involved in oxidation-reduction reactions, which are not the primary function of lysosomes.

2. As a nursing student triaging a patient, which of the following is an example of quantitative data you can gather?

• A. The patient says he feels pain.
• B. The patient says he has stabbing pain.
• C. The patient's temperature is 101.7°F.
• D. The patient reports that he had a fever yesterday.

Correct answer: C

Rationale: The corrected choice C, 'The patient's temperature is 101.7°F,' is an example of quantitative data because it provides a specific numerical value that can be measured. Quantitative data involves measurable and numerical information, making it crucial for assessing a patient's condition objectively. Choices A and B are subjective statements based on the patient's perception of pain and its description, which are qualitative data and may vary between individuals. Choice D provides historical information about a fever, which is not a current measurable value and does not constitute quantitative data for immediate assessment.

3. What is the term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues?

• A. Inhalation
• B. Exhalation
• C. External respiration
• D. Internal respiration

Correct answer: C

Rationale: External respiration is the correct term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues. It specifically refers to the exchange of gases that occurs in the lungs, where oxygen is absorbed into the bloodstream and carbon dioxide is released from the bloodstream to be exhaled. Inhalation and exhalation, choices A and B, are phases of the breathing process that involve the intake and expulsion of air into and out of the lungs, respectively. Internal respiration, choice D, is the process of gas exchange that happens at the cellular level between the blood and body tissues, not between the blood and the lungs or tissues as in external respiration. Therefore, external respiration is the most appropriate term for the described gas exchange process in the question.

4. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

5. What term describes a series of muscle contractions that transports food down the digestive tract in a wave-like fashion?

• A. digestion
• B. deglutition
• C. defecation
• D. peristalsis

Correct answer: D

Rationale: Peristalsis is the correct term for the series of muscle contractions that move food down the digestive tract in a wave-like manner. This process helps propel food through the esophagus, stomach, and intestines, facilitating digestion and nutrient absorption. Digestion (Choice A) refers to the breakdown of food into smaller components, deglutition (Choice B) is the act of swallowing, and defecation (Choice C) is the elimination of waste from the body. Therefore, peristalsis is the most appropriate term to describe the described muscle contractions in the digestive system.

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