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. What are the three types of muscle tissue?

• A. Cardiac, spinal, stomach
• B. Smooth, skeletal, cardiac
• C. Neuron, epithelial, collagen
• D. None of the above

Correct answer: B

Rationale: The correct answer is B: Smooth, skeletal, cardiac. Smooth muscle is found in organs like the stomach and is involuntarily controlled. Skeletal muscle is found in voluntary muscles, like the bicep or quadriceps. Cardiac muscle is found only in the heart walls and works involuntarily to make the heart beat and pump blood. Choices A, C, and D are incorrect because they do not represent the three types of muscle tissue.

3. Which two bases are purines?

• A. Adenine (A)
• B. Cytosine (C)
• C. Thymine (T)
• D. Guanine (G)

Correct answer: A

Rationale: Adenine (A) and guanine (G) are the two bases that are purines. Purines are characterized by a double-ring structure containing two carbon rings, distinguishing them from pyrimidines. Adenine and guanine are purines because they possess this unique double-ring structure. Therefore, choices A and D, adenine and guanine, respectively, are the correct answers. Choices B and C, cytosine and thymine, are pyrimidines and do not exhibit the double-ring structure characteristic of purines.

4. Cells that line the inner or outer surfaces of organs or body cavities are often linked together by intimate physical connections. These connections are referred to as ______.

• A. Separate desmosomes
• B. Ronofilaments
• C. Tight junctions
• D. Fascia adherens

Correct answer: C

Rationale: The correct answer is C: Tight junctions. Tight junctions, also known as zonula occludens, are the intimate physical connections between cells that line the inner or outer surfaces of organs or body cavities. These junctions form a virtually impermeable barrier to fluid, creating a tight seal between the cells. This helps in maintaining the integrity and function of the tissue as well as regulating the movement of substances across the cell layer. Choice A, Separate desmosomes, are cell structures that provide strong adhesion between cells but do not create a barrier to fluid. Choice B, Ronofilaments, is not a term used to describe the connections between cells. Choice D, Fascia adherens, are another type of cell junction involved in cell adhesion, but they are different from tight junctions in terms of their structure and function.

5. What are the two catabolic pathways that lead to cellular energy production?

• A. Fermentation and internal respiration
• B. Fermentation and external respiration
• C. Fermentation and cellular respiration
• D. Fermentation and anaerobic respiration

Correct answer: C

Rationale: The correct answer is 'Fermentation and cellular respiration.' Fermentation is an anaerobic catabolic process that occurs in the absence of oxygen, producing limited amounts of ATP. Cellular respiration, on the other hand, is the aerobic catabolic pathway that occurs in the presence of oxygen and is the most efficient way of producing ATP. Choices A, B, and D are incorrect because internal respiration, external respiration, and anaerobic respiration are not the correct pathways leading to cellular energy production.

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