Nursing Elites

1. Which of the following enzymes unwinds the double-stranded DNA during replication?

• A. Helicase
• B. Ligase
• C. Nuclease
• D. Polymerase

Correct answer: A

Rationale: Helicase is the enzyme responsible for unwinding the double-stranded DNA during replication by breaking the hydrogen bonds between the base pairs. This process creates the replication fork where DNA polymerase can then synthesize new DNA strands. Ligase functions to join Okazaki fragments on the lagging strand, not unwind DNA. Nuclease is involved in DNA repair by removing damaged DNA segments. Polymerase is responsible for synthesizing new DNA strands based on the existing template strands, not for unwinding the DNA.

2. Which of the following is NOT a function of progesterone in the female reproductive system?

• A. expression of secondary sexual characteristics, such as enlarged breasts
• B. stimulation of milk production in the breasts
• C. regulation and preparation of the endometrial lining of the uterus for potential pregnancy
• D. inhibition of contractions of the uterus as the ovum is released

Correct answer: A

Rationale: Progesterone plays a key role in the regulation and preparation of the endometrial lining of the uterus for potential pregnancy. It also inhibits contractions of the uterus as the ovum is released and stimulates milk production in the breasts. However, the expression of secondary sexual characteristics, such as enlarged breasts, is primarily influenced by estrogen, not progesterone. Therefore, choice A is the correct answer as it is not a function directly attributed to progesterone in the female reproductive system.

3. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The most common location for an ectopic pregnancy is the fallopian tube. This occurs when the fertilized egg implants and grows outside the uterus, typically in the fallopian tube. Ectopic pregnancies in other locations such as the ovary, cervix, or vagina are much rarer. The fallopian tube is the correct answer because it is the site where the fertilized egg may get stuck during its journey to the uterus, leading to implantation and growth outside the uterus. The ovary is not a common site for ectopic pregnancy, and implantation there can be life-threatening due to the risk of severe bleeding. The cervix and vagina are not typical sites for implantation of a fertilized egg, making them less likely locations for an ectopic pregnancy.

4. Which of the following organs is NOT part of the circulatory system?

• A. Kidneys
• B. Heart
• C. Blood
• D. Blood vessels

Correct answer: A

Rationale: The correct answer is A: Kidneys. The kidneys are not part of the circulatory system. While the circulatory system includes the heart, blood, and blood vessels (arteries, veins, capillaries), the kidneys belong to the urinary system. The kidneys are responsible for filtering waste products from the blood and producing urine. Choice B, the heart, is a vital organ in the circulatory system responsible for pumping blood. Choice C, blood, is a key component of the circulatory system that carries oxygen and nutrients to the body's tissues. Choice D, blood vessels (arteries, veins, capillaries), facilitate the circulation of blood throughout the body, playing a crucial role in the circulatory system.

5. Which of the following hormones is responsible for regulating blood sugar levels?

• A. Insulin
• B. Adrenaline
• C. Cortisol
• D. Melatonin

Correct answer: A

Rationale: Insulin is the hormone responsible for regulating blood sugar levels by facilitating the uptake of glucose into cells. Insulin helps lower blood sugar levels by promoting the storage of glucose in the liver, muscle, and fat cells. Adrenaline, cortisol, and melatonin do not directly regulate blood sugar levels. Adrenaline is involved in the fight-or-flight response, cortisol is a stress hormone that affects metabolism, immune response, and anti-inflammatory actions, while melatonin regulates sleep-wake cycles.

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