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. Which names a final step in protein synthesis?

• A. DNA unzips.
• B. Amino acids bond.
• C. Transfer RNA bonds to messenger RNA.
• D. Messenger RNA moves to ribosomes.

Correct answer: B

Rationale: The final step in protein synthesis is when amino acids bond together to form a protein chain. This process occurs during translation, where transfer RNA (tRNA) brings specific amino acids to the ribosome, and the ribosome catalyzes the formation of peptide bonds between the amino acids. This step ultimately leads to the synthesis of a complete protein based on the instructions from messenger RNA (mRNA). Choice A ('DNA unzips') is incorrect as it refers to the initiation of transcription, not the final step of protein synthesis. Choice C ('Transfer RNA bonds to messenger RNA') is incorrect as it describes the process of translation initiation rather than the final step. Choice D ('Messenger RNA moves to ribosomes') is also incorrect as mRNA is already present at the ribosomes throughout the translation process, not just in the final step.

3. Imagine that two parents both carry the recessive gene for cystic fibrosis. Any homozygous recessive offspring will manifest the disease. What percentage of the offspring is predicted to be carriers but not manifest the disease?

• A. 0%
• B. 25%
• C. 50%
• D. 100%

Correct answer: B

Rationale: When both parents carry the recessive gene for cystic fibrosis (homozygous recessive), there is a 25% chance for each offspring to inherit two recessive alleles and, therefore, manifest the disease. There is also a 50% chance for each offspring to inherit one recessive allele and one dominant allele, making them carriers of the disease but not manifest it. Therefore, 25% of the offspring are predicted to be carriers but not manifest the disease. Choice A (0%) is incorrect because there is a portion of offspring that will be carriers. Choice C (50%) is incorrect as this percentage corresponds to carriers who will not manifest the disease. Choice D (100%) is incorrect as not all offspring will be carriers and not manifest the disease.

4. Which of the following is not found within a bacterial cell?

• A. mitochondria
• B. DNA
• C. vesicles
• D. ribosome

Correct answer: A

Rationale: The correct answer is A: mitochondria. Mitochondria are not found in bacterial cells. Bacterial cells lack membrane-bound organelles like mitochondria, which are commonly found in eukaryotic cells. Choices B, C, and D are all components that can be found within a bacterial cell. Bacterial cells contain DNA as their genetic material, vesicles for various cellular functions, and ribosomes for protein synthesis. Therefore, the presence of mitochondria is the distinguishing factor that is not found in bacterial cells, making option A the correct answer.

5. What are plasma membranes mostly made of?

• A. Proteins
• B. Carbohydrates
• C. Lipids
• D. Nucleotides

Correct answer: C

Rationale: The correct answer is C: Lipids. Plasma membranes are primarily composed of lipids, specifically phospholipids, which form a lipid bilayer. While proteins are also an essential component of plasma membranes, they are not the primary constituent. Carbohydrates are present on the outer surface of the membrane but are not the main structural component. Nucleotides are the building blocks of nucleic acids like DNA and RNA and are not the main constituents of plasma membranes.

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