Nursing Elites

1. What are the building blocks of proteins?

• A. Sugars
• B. Fatty acids
• C. Amino acids
• D. Nucleotides

Correct answer: C

Rationale: Proteins are macromolecules made up of long chains of amino acids. Amino acids are the building blocks of proteins and are linked together through peptide bonds to form polypeptide chains, which then fold into specific three-dimensional structures to carry out various functions in the body. Sugars (choice A) are the building blocks of carbohydrates, fatty acids (choice B) are the building blocks of lipids, and nucleotides (choice D) are the building blocks of nucleic acids like DNA and RNA. Therefore, the correct answer is amino acids (choice C), as they are specifically responsible for protein synthesis.

2. What is the waste product of protein digestion?

• A. Glucose
• B. Amino acids
• C. Fatty acids
• D. Ammonia

Correct answer: D

Rationale: The waste product of protein digestion is ammonia. Protein digestion breaks down proteins into amino acids, and during this process, ammonia is produced. Ammonia is toxic and needs to be converted into urea in the liver for excretion via urine. Glucose is a product of carbohydrate digestion, amino acids are building blocks of proteins, and fatty acids are the end products of fat digestion. Therefore, the correct answer is ammonia.

3. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folding and coiling of the polypeptide backbone into structures like alpha helices and beta sheets. Secondary structure primarily involves interactions such as hydrogen bonding within the backbone. This level of protein structure is distinct from primary structure (A) which refers to the linear sequence of amino acids, tertiary structure (C) which involves the overall 3D arrangement of a single polypeptide chain, and quaternary structure (D) which pertains to the interaction between multiple polypeptide chains in a protein complex.

4. What is the approximate composition of blood?

• A. 45% plasma, 55% formed elements
• B. 55% plasma, 45% formed elements
• C. 55% water, 45% blood cells
• D. 45% water, 55% plasma

Correct answer: B

Rationale: Blood is composed of approximately 55% plasma (mostly water with proteins, electrolytes, and nutrients) and 45% formed elements (red blood cells, white blood cells, and platelets). Choice B is the correct answer. Choice A is incorrect as it reverses the percentages. Choice C is incorrect because it incorrectly states that blood cells make up 45% of blood, while they are part of the formed elements along with platelets. Choice D is incorrect as it suggests that water makes up 45% of blood, which is not accurate.

5. Which of the following structures is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The correct answer is D, the Mitral valve. The mitral valve, also known as the bicuspid valve, is situated between the left atrium and the left ventricle. Its primary function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. The other choices are incorrect because: A) The aortic valve prevents backflow from the aorta into the left ventricle. B) The pulmonary valve prevents backflow from the pulmonary artery into the right ventricle. C) The tricuspid valve prevents backflow from the right ventricle into the right atrium.

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