Nursing Elites

1. Patient A, who weighs 68 kilograms, steps onto a scale 20 times. The scale consistently weighs Patient A as 75 kilograms. What is true of the measurement?

• A. It is valid, but not reliable.
• B. It is reliable, but not valid.
• C. It is both valid and reliable.
• D. It is neither reliable nor valid.

Correct answer: B

Rationale: The correct answer is B: 'It is reliable, but not valid.' The measurement is reliable because it consistently provides the same result (75 kg). However, it is not valid because it does not accurately reflect the true weight of Patient A (68 kg). Choice A is incorrect because if the scale consistently shows the same weight (75 kg), it is reliable. Choice C is incorrect because although the scale is consistent, the measurement does not reflect the true weight, making it not valid. Choice D is incorrect as the measurement is reliable but lacks validity.

2. Why is polarity the most important characteristic of water?

• A. the results of the polarity are hydrogen bonding, a high specific heat value, and its versatile solvent properties
• B. the results of the polarity are covalent bonding, a low specific heat value, and its versatile solvent properties
• C. the results of the polarity are ionic bonding, a high specific heat value, and its versatile solvent properties
• D. the results of the polarity are hydrogen bonding, a low specific heat value, and its versatile solvent properties

Correct answer: A

Rationale: Polarity is the most important characteristic of water because it results in hydrogen bonding, a high specific heat value, and its versatile solvent properties. These unique properties enable water to form hydrogen bonds with other substances, resist temperature changes, and dissolve a wide variety of solutes, making it essential for life processes. Choice B is incorrect because water exhibits hydrogen bonding, not covalent bonding. Choice C is incorrect as water does not form ionic bonds. Choice D is incorrect because water has a high, not low, specific heat value, which is vital for its role in temperature regulation.

3. During protein synthesis, what process uses an RNA strand to produce a complementary strand of DNA?

• A. Transcription
• B. Translation
• C. Transfer synthesis
• D. Codon synthesis

Correct answer: A

Rationale: The correct answer is 'Transcription.' During transcription, an RNA strand is used to produce a complementary strand of DNA. This process is essential for converting the genetic information stored in DNA into RNA. Choice B, 'Translation,' is incorrect as it involves the synthesis of proteins from mRNA. Choice C, 'Transfer synthesis,' is not a recognized term in molecular biology. Choice D, 'Codon synthesis,' is also incorrect as it does not refer to the process of using an RNA strand to produce a complementary DNA strand.

4. Which of the following is true of Glycolysis?

• A. It requires the absence of Oxygen
• B. It occurs in the presence of Oxygen
• C. It is the final step of fermentation
• D. It is the final step of anaerobic respiration

Correct answer: B

Rationale: Glycolysis is the first step in cellular respiration and can occur in both aerobic (presence of oxygen) and anaerobic (absence of oxygen) conditions. In aerobic respiration, glycolysis takes place in the presence of oxygen and continues with the Krebs cycle and the electron transport chain. So, glycolysis does not require the absence of oxygen but can occur in its presence as part of the overall process of aerobic respiration. Choice A is incorrect because glycolysis can occur in the presence of oxygen. Choice C is incorrect because glycolysis is not the final step of fermentation; it is the initial step. Choice D is incorrect because glycolysis is not the final step of anaerobic respiration; it is the first step, followed by further processes to complete anaerobic respiration.

5. A cell is in a solution in which the concentration of solutes is higher inside the cell than outside the cell. What would you expect to happen to the cell?

• A. It will swell and possibly burst.
• B. It will shrivel and shrink.
• C. It will maintain its current size.
• D. It will grow a supportive cell wall.

Correct answer: A

Rationale: When a cell is in a solution where the concentration of solutes is higher inside the cell than outside, it is in a hypertonic environment. In this situation, water will move into the cell in an attempt to equalize the concentration of solutes on both sides of the cell membrane through the process of osmosis. As a result, the cell will swell as it takes in more water, potentially leading to bursting or cell lysis. Choice B is incorrect because a cell in a hypertonic solution will not shrivel and shrink due to water moving into the cell. Choice C is incorrect because the cell will not maintain its current size; it will swell. Choice D is incorrect because growing a supportive cell wall is not the immediate response to being in a hypertonic environment.

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