Nursing Elites

1. Which names a final step in protein synthesis?

• A. DNA unzips.
• B. Amino acids bond.
• C. Transfer RNA bonds to messenger RNA.
• D. Messenger RNA moves to ribosomes.

Correct answer: B

Rationale: The final step in protein synthesis is when amino acids bond together to form a protein chain. This process occurs during translation, where transfer RNA (tRNA) brings specific amino acids to the ribosome, and the ribosome catalyzes the formation of peptide bonds between the amino acids. This step ultimately leads to the synthesis of a complete protein based on the instructions from messenger RNA (mRNA). Choice A ('DNA unzips') is incorrect as it refers to the initiation of transcription, not the final step of protein synthesis. Choice C ('Transfer RNA bonds to messenger RNA') is incorrect as it describes the process of translation initiation rather than the final step. Choice D ('Messenger RNA moves to ribosomes') is also incorrect as mRNA is already present at the ribosomes throughout the translation process, not just in the final step.

2. What does the parathyroid hormone regulate?

• A. Magnesium
• B. Calcium
• C. Calcitonin
• D. Glucocorticoids

Correct answer: B

Rationale: The parathyroid hormone primarily regulates calcium levels in the blood. It acts to increase calcium levels by stimulating the release of calcium from bones, enhancing calcium reabsorption in the kidneys, and promoting the conversion of vitamin D to its active form, which aids in calcium absorption from the intestines. Therefore, the correct answer is B. Choices A, C, and D are incorrect because the parathyroid hormone does not play a significant role in the regulation of magnesium (Choice A), calcitonin (Choice C), or glucocorticoids (Choice D).

3. When an American Indian seeks help at the clinic for regulating her diabetes, the nurse can expect that she:

• A. will comply with the treatment prescribed.
• B. has not necessarily given up her beliefs in naturalistic causes of disease.
• C. may also be seeking the assistance of a shaman or medicine man.
• D. may need extra help in dealing with her illness and may be experiencing a crisis of faith.

Correct answer: C

Rationale: It is important to recognize that individuals from American Indian cultures may incorporate traditional healing practices, such as seeking the assistance of a shaman or medicine man, alongside biomedical treatments. This holistic approach to health and healing is a significant aspect of their cultural beliefs and practices. Choice A is incorrect because compliance with treatment may vary among individuals and cannot be generalized. Choice B is incorrect as it assumes that seeking traditional help means giving up beliefs in naturalistic causes of disease, which is not necessarily the case. Choice D is incorrect as it makes assumptions about the patient's emotional state and crisis of faith without evidence. Overall, understanding and respecting the integration of traditional healing practices is key to providing culturally sensitive care.

4. In an example of a male with hemophilia and a female carrier, what ratio of the offspring are predicted neither to carry nor to manifest the disease?

• A. 0 females : 1 male
• B. 1 female : 1 male
• C. 1 female : 0 males
• D. 2 females : 1 male

Correct answer: D

Rationale: In this scenario, the male offspring will inherit the Y chromosome from the father and the X chromosome from the carrier mother. As a result, they will not have the hemophilia gene. The female offspring will inherit one X chromosome from the mother, which does not carry the hemophilia gene, and one X chromosome from the father, which does not exist due to the Y chromosome. Therefore, all female offspring will not carry or manifest hemophilia, resulting in a ratio of 2 females to 1 male. Choice A is incorrect because it does not account for the female offspring. Choices B and C are incorrect as they do not reflect the correct ratio based on the inheritance pattern of hemophilia.

5. Throughout this passage, the word suit means?

• A. A set of clothing.
• B. A group of cards in a deck.
• C. A legal case.
• D. A formal request.

Correct answer: B

Rationale: The correct answer is B. In the passage, the word 'suit' refers to one of the four groups of cards in a deck of playing cards. The passage explains how the suits of cards, such as spades, hearts, diamonds, and clubs, are used in the game of Bridge. Choice A, 'A set of clothing,' is incorrect as it does not relate to the context of playing cards. Choice C, 'A legal case,' and Choice D, 'A formal request,' are also incorrect as they have no relevance to the discussion of card games in the passage.

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