Nursing Elites

1. Which gland produces the hormone responsible for the 'fight-or-flight' response in stressful situations?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The hormone responsible for the 'fight-or-flight' response in stressful situations is produced by the adrenal gland. This hormone is called adrenaline (epinephrine) and is released in response to stress, preparing the body to either fight the stressor or flee from it. The other choices are incorrect because the thyroid gland primarily produces hormones that regulate metabolism, the pituitary gland produces various hormones that control other endocrine glands, and the pancreas produces insulin and glucagon to regulate blood sugar levels.

2. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. Which of the following is NOT a recognized mode of natural selection?

• A. Directional selection (favoring one extreme trait value on a spectrum)
• B. Disruptive selection (favoring both extreme trait values on a spectrum)
• C. Stabilizing selection (favoring the average trait value on a spectrum)
• D. Sexual selection (selection based on mate choice that influences reproductive success)

Correct answer: D

Rationale: A) Directional selection is a recognized mode of natural selection where one extreme trait value on a spectrum is favored over others, leading to a shift in the average trait value over time. B) Disruptive selection is a recognized mode of natural selection where both extreme trait values on a spectrum are favored over the average trait value, potentially causing the population to split into distinct groups. C) Stabilizing selection is a recognized mode of natural selection favoring the average trait value on a spectrum over extreme values, resulting in reduced genetic diversity. D) Sexual selection differs from traditional natural selection modes as it involves mate choice and competition for mates, not direct selection pressure on traits affecting survival and reproduction in the environment. Sexual selection can drive the evolution of traits enhancing an individual's attractiveness for mating purposes.

4. In aerobic respiration, how many ATP molecules are produced per molecule of FADH2?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: B

Rationale: The correct answer is B: 2. During aerobic respiration, each molecule of FADH2 produces 2 ATP molecules. FADH2 enters the electron transport chain and contributes to the generation of ATP. Choice A (1), Choice C (3), and Choice D (4) are incorrect because FADH2 specifically yields 2 ATP molecules per molecule in the process of aerobic respiration.

5. Which functional group is commonly found in ketones?

• A. Hydroxyl
• B. Carbonyl
• C. Ester
• D. Amine

Correct answer: B

Rationale: Ketones contain a carbonyl functional group, which consists of a carbon atom double-bonded to an oxygen atom. This distinguishes ketones from other functional groups such as hydroxyl, ester, and amine. The presence of the carbonyl group, not hydroxyl (choice A), ester (choice C), or amine (choice D), is characteristic of ketones, making choice B, 'Carbonyl', the correct answer.

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