Nursing Elites

1. What is the Golgi apparatus?

• A. A network of tubules that transport proteins and lipids throughout the cell
• B. A sac-like structure that stores water and nutrients
• C. The site of protein synthesis
• D. The site of protein modification and packaging

Correct answer: D

Rationale: The Golgi apparatus is an organelle in the cell responsible for modifying, sorting, and packaging proteins and lipids for transport to their final destinations. It consists of a series of flattened sacs called cisternae and plays a crucial role in processing proteins synthesized in the endoplasmic reticulum. Option A is incorrect because the network of tubules that transport proteins and lipids throughout the cell is typically associated with the endoplasmic reticulum. Option B is incorrect as the structure described is more characteristic of a vacuole, which stores water and nutrients. Option C is incorrect as protein synthesis primarily occurs in the ribosomes, not the Golgi apparatus.

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 property of matter refers to the force of gravity acting on an object?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: B

Rationale: Weight is the property of matter that refers to the force of gravity acting on an object. Mass is the amount of matter in an object, not affected by gravity. Density is the mass per unit volume of a substance, not directly related to gravity. Volume is the amount of space that an object occupies, not a measure of gravity's force.

4. What is the process of making copies of RNA from DNA called?

• A. Replication
• B. Transcription
• C. Translation
• D. DNA repair

Correct answer: B

Rationale: Transcription is the correct answer. Transcription is the process of making copies of RNA from DNA. During transcription, the enzyme RNA polymerase binds to a specific region of DNA and synthesizes a complementary RNA strand based on the DNA template. This process is essential for gene expression and protein synthesis in cells. Replication (option A) refers to the process of making copies of DNA, not RNA. Translation (option C) is the process of synthesizing proteins from mRNA, not making copies of RNA from DNA. DNA repair (option D) involves mechanisms that cells use to repair damaged DNA, not the process of making RNA copies from DNA.

5. Which part of the heart is responsible for generating the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The QRS complex on an ECG represents ventricular depolarization. This electrical activity is generated by the ventricular muscle cells. While the SA node generates the P wave, the AV node delays the impulse, and the Bundle of His and Purkinje fibers assist in rapidly conducting the impulse through the ventricles, it is the ventricular muscle cells that specifically create the QRS complex. Therefore, choice D, Ventricular muscle cells, is the correct answer. Choices A, B, and C are incorrect as they are primarily involved in initiating and coordinating the electrical impulses in the heart but do not directly generate the QRS complex on an ECG.

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