Nursing Elites

1. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

2. What is the building block of RNA?

• A. Amino acid
• B. Nucleotide
• C. Protein
• D. Fatty acid

Correct answer: B

Rationale: Nucleotide: Nucleotides are the building blocks of RNA. A nucleotide consists of a nitrogenous base (adenine, guanine, cytosine, or uracil in RNA), a sugar (ribose in RNA), and a phosphate group. A) Amino acid: Amino acids are the building blocks of proteins, not RNA. C) Protein: Proteins are made up of amino acids, not nucleotides. D) Fatty acid: Fatty acids are components of lipids, not RNA.

3. What is the primary function of ribosomes in a cell?

• A. Protein synthesis
• B. DNA replication
• C. Cell division
• D. Lipid synthesis

Correct answer: A

Rationale: The correct answer is A: Protein synthesis. Ribosomes are the cellular organelles responsible for protein synthesis. They read the messenger RNA (mRNA) and translate the genetic information into specific proteins. This process is essential for building and maintaining the structures and functions of the cell. Choice B, DNA replication, is incorrect because ribosomes are not involved in replicating DNA; that process occurs in the nucleus. Choice C, cell division, is incorrect as ribosomes are not directly involved in cell division but rather in protein synthesis. Choice D, lipid synthesis, is also incorrect as ribosomes are not responsible for synthesizing lipids, which primarily occurs in the endoplasmic reticulum and other organelles.

4. What is the function of valves in arteries?

• A. To maintain high blood pressure for the proper diffusion of nutrients in capillaries.
• B. To prevent backflow of blood due to high pressure away from the heart.
• C. As a vestigial trait from evolution, like the appendix, that serves no purpose.
• D. Valves are absent in arteries but present in veins.

Correct answer: B

Rationale: Valves in arteries serve the crucial function of preventing backflow of blood. Arteries carry blood at high pressure away from the heart, and the valves ensure that blood flows in one direction, towards the capillaries, to maintain efficient circulation. Without these valves, there would be a risk of blood flowing backward, compromising the effectiveness of blood circulation in the body. Choices A, C, and D are incorrect. Choice A incorrectly suggests that valves maintain high blood pressure for nutrient diffusion in capillaries, which is not their function. Choice C inaccurately compares valves to vestigial traits, like the appendix, implying they serve no purpose, which is untrue. Choice D is incorrect as valves are indeed present in arteries to regulate blood flow, not just in veins.

5. What is the most powerful stimulus for breathing in a healthy person?

• A. Acidosis
• B. Alkalosis
• C. Increase in CO2
• D. Loss of O2

Correct answer: C

Rationale: The correct answer is an increase in CO2. In a healthy individual, the primary drive to breathe is regulated by the levels of carbon dioxide (CO2) in the blood. When CO2 levels increase, it triggers the body to increase the rate and depth of breathing to eliminate excess CO2 and restore the balance. This response is more powerful than other stimuli such as acidosis, alkalosis, or loss of oxygen. While acidosis and alkalosis can affect breathing, an increase in CO2 has a more direct and immediate impact. Loss of oxygen (hypoxia) is a potent stimulus, but the body's response to increased CO2 levels is generally more pronounced and immediate in healthy individuals.

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