Nursing Elites

1. What is the primary function of enzymes?

• A. To provide energy for reactions
• B. To speed up reactions
• C. To decrease activation energy
• D. To act as a catalyst

Correct answer: B

Rationale: Enzymes function to speed up reactions by lowering the activation energy required for the reaction to occur. They act as biological catalysts, providing an alternative pathway for the reaction to proceed more rapidly without being consumed in the process. Choices A, C, and D are incorrect because enzymes do not provide energy for reactions (they do not generate energy), their primary function is not to decrease activation energy (though they do lower it), and while they act as catalysts, the primary function is to speed up reactions by lowering activation energy.

2. When providing culturally competent care, how should nurses incorporate cultural assessments into health assessments? Which statement is most appropriate when initiating an assessment of cultural beliefs with an elderly American Indian patient?

• A. "Are you of the Christian faith?"
• B. "Do you want to see a medicine man?"
• C. "How often do you seek help from medical providers?"
• D. "What cultural or spiritual beliefs are important to you?"

Correct answer: D

Rationale: The most appropriate statement to initiate an assessment of cultural beliefs with an elderly American Indian patient is to ask, "What cultural or spiritual beliefs are important to you?" This question encourages the patient to share their personal beliefs without assuming stereotypes or making generalizations. It allows the patient to express their individual cultural and spiritual practices, enabling nurses to deliver more personalized and culturally competent care. Choices A, B, and C are not as suitable. Choice A assumes a specific faith without considering the patient's actual beliefs. Choice B relies on a stereotype about American Indian culture, and Choice C focuses more on seeking medical help rather than exploring cultural beliefs.

3. What is the most visible part of the ear?

• A. Ear canal
• B. Cochlea
• C. Organ of Corti
• D. Pinna

Correct answer: D

Rationale: The pinna, also known as the auricle, is the most visible part of the ear. Its external shape and location make it easily noticeable on the side of the head. The pinna helps in capturing sound waves and directing them into the ear canal, where the sound transmission process begins. The other structures listed, the Organ of Corti, Cochlea, and Ear canal, are essential parts of the ear involved in hearing and sound processing, but they are not as visibly prominent as the pinna. Therefore, the correct answer is the pinna because of its external visibility and role in capturing sound waves.

4. How many kilometers is equivalent to 200 meters?

• A. 50 kilometers
• B. 20 kilometers
• C. 12 kilometers
• D. 0.2 kilometers

Correct answer: D

Rationale: To convert meters to kilometers, divide the number of meters by 1000, as 1 kilometer is equal to 1000 meters. Therefore, 200 meters is equivalent to 200 / 1000 = 0.2 kilometers. Choices A, B, and C are incorrect because they do not correctly convert meters to kilometers. A provides an answer that would be correct if converting from kilometers to meters. B and C are much larger distances than what 200 meters represent.

5. Which of the following hormones is responsible for regulating metabolism?

• A. Insulin
• B. Thyroxine
• C. Glucagon
• D. Cortisol

Correct answer: B

Rationale: Thyroxine, produced by the thyroid gland, is the hormone responsible for regulating metabolism. It plays a fundamental role in controlling the body's metabolic rate, affecting processes such as energy production and utilization. Thyroxine also influences growth and development in the body. Choice A, Insulin, is involved in regulating blood sugar levels and promoting the storage of glucose. While insulin has an impact on metabolism, it is not primarily responsible for regulating overall metabolic rate. Choice C, Glucagon, acts in opposition to insulin, stimulating the release of glucose from the liver to increase blood sugar levels. Glucagon primarily targets glucose regulation rather than overall metabolism. Choice D, Cortisol, is known as the stress hormone and plays a role in the body's response to stress, regulation of blood pressure, immune function, and anti-inflammatory actions. While cortisol can have some effects on metabolism during stress responses, it is not the primary hormone responsible for regulating overall metabolic rate.

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