Nursing Elites

1. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

2. Which of the following is NOT a common symptom of lactose intolerance?

• A. Gas
• B. Bloating
• C. Diarrhea
• D. Nausea

Correct answer: D

Rationale: A) Gas: Gas is a common symptom of lactose intolerance. When lactose is not properly digested, it can ferment in the colon, leading to the production of gas. B) Bloating: Bloating is another common symptom of lactose intolerance. The buildup of gas in the digestive system can cause bloating and discomfort. C) Diarrhea: Diarrhea is a common symptom of lactose intolerance. When lactose is not broken down in the small intestine, it can draw excess water into the colon, resulting in diarrhea. D) Nausea: Nausea is not a common symptom of lactose intolerance. While some individuals may experience mild stomach discomfort or cramps, nausea is not typically associated with lactose intolerance.

3. What is the 'lock-and-key' model?

• A. Protein folding
• B. Enzyme-substrate interaction
• C. Muscle contraction
• D. Blood clotting

Correct answer: B

Rationale: The 'lock-and-key' model describes the specificity of the interaction between enzymes and their substrates. In this model, the enzyme's active site acts like a lock that can only be opened by the specific substrate molecule, which serves as the key. This specific binding ensures that enzymes catalyze particular reactions and do not interact with other molecules indiscriminately. Protein folding (option A) is the process by which a protein attains its functional three-dimensional structure but is not directly related to the lock-and-key model. Muscle contraction (option C) and blood clotting (option D) are complex biological processes but are not directly associated with the lock-and-key model of enzyme-substrate interaction.

4. A substance is only considered acidic if it has a pH less than what?

• A. 12
• B. 9
• C. 7
• D. 4

Correct answer: C

Rationale: A substance is considered acidic if its pH is less than 7. pH values below 7 indicate acidity, while pH values above 7 indicate alkalinity or basicity. Substances with a pH less than 7 are categorized as acidic, not above it. Therefore, a substance is classified as acidic if its pH is less than 7, making choice C the correct answer. Choices A, B, and D are incorrect because a pH of 12, 9, and 4, respectively, are all above 7, and therefore not indicative of acidity.

5. What is the function of arrector pili muscles?

• A. To control sweat production
• B. To contract and cause goosebumps
• C. To produce sebum
• D. To sense touch

Correct answer: B

Rationale: The correct function of arrector pili muscles is to contract and cause goosebumps. These small muscles are attached to hair follicles in mammals. When they contract, they cause the hair to stand on end, resulting in goosebumps. This physiological response is often triggered by cold temperatures or emotional states like fear, helping mammals conserve heat or appear larger in threatening situations. Choices A, C, and D are incorrect. Arrector pili muscles are not involved in controlling sweat production (Choice A), producing sebum (Choice C), or sensing touch (Choice D).

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