Nursing Elites

1. What is the process of breaking down glucose into pyruvate called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Krebs cycle
• D. Oxidative phosphorylation

Correct answer: A

Rationale: A) Glycolysis is the process of breaking down glucose into pyruvate. This occurs in the cytoplasm of cells and is the first step in cellular respiration. B) Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources, such as amino acids or glycerol, and is the opposite of glycolysis. C) The Krebs cycle, also known as the citric acid cycle, is a series of chemical reactions that occur in the mitochondria and is involved in the oxidation of acetyl-CoA to produce ATP and other energy carriers. D) Oxidative phosphorylation is the final stage of cellular respiration where ATP is produced through the transfer of electrons in the electron transport chain.

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 the primary physical barrier the body uses to prevent infection?

• A. mucus membranes
• B. stomach acid
• C. skin
• D. urine

Correct answer: C

Rationale: The correct answer is 'C: skin.' The skin is the primary physical barrier the body uses to prevent infection. It acts as a protective shield that prevents harmful microorganisms from entering the body. The outer layer of the skin, known as the epidermis, acts as a tough physical barrier that blocks the entry of pathogens. Additionally, the skin has special immune cells that can help fight off invaders that manage to breach the physical barrier. Choices A, B, and D are incorrect. While mucous membranes, stomach acid, and urine play important roles in the body's defense against pathogens, the primary physical barrier is the skin, which covers the entire body and provides a robust protective barrier.

4. Which statement is true regarding aromatic compounds?

• A. Contain a ring structure with alternating single and double bonds
• B. Readily undergo addition reactions
• C. Are easily broken down by water
• D. Do not contain any pi (π) bonds

Correct answer: A

Rationale: Aromatic compounds contain a ring structure with alternating single and double bonds, known as a benzene ring. This alternating pattern of bonds gives aromatic compounds their stability and unique properties. Due to this resonance, aromatic compounds are less reactive towards addition reactions. Water does not easily break down aromatic compounds due to their stability from the delocalized electrons in the ring structure. Therefore, the correct statement is that aromatic compounds contain a ring structure with alternating single and double bonds, providing them with stability and unique properties. Choices B, C, and D are incorrect. Aromatic compounds do not readily undergo addition reactions (B), are not easily broken down by water (C), and do contain pi (π) bonds due to the presence of the alternating single and double bonds in the ring structure (D).

5. Which statement confirms that the cell membrane is selectively permeable?

• A. Receptors are found on a cell's surface.
• B. Cells communicate with each other using cell signals.
• C. Environmental changes can cause a cell to expand or shrink.
• D. Sodium ions must travel through ion channels to enter the cell.

Correct answer: D

Rationale: The correct answer is D because selective permeability is demonstrated by the fact that specific ions, such as sodium, require ion channels to cross the cell membrane. This process allows the cell to control what substances can enter or exit, highlighting the selective nature of the cell membrane. Choices A, B, and C do not directly relate to the concept of selective permeability of the cell membrane. Receptors on a cell's surface (Choice A) are involved in cell signaling rather than selective permeability. Cell communication through signals (Choice B) and environmental changes affecting cell size (Choice C) are not directly related to the selective permeability of the cell membrane, which specifically refers to the regulation of substances passing through the membrane.

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