Nursing Elites

1. Which of the following substances has an acidic pH?

• A. Lemon juice
• B. Blood
• C. Urine
• D. Salt water

Correct answer: A

Rationale: The correct answer is A, Lemon juice, which has an acidic pH typically around 2 due to its citric acid content. Blood, urine, and salt water are not typically acidic in nature. Blood has a slightly basic pH, urine can vary but is usually slightly acidic to neutral, and salt water is neutral to slightly alkaline. Lemon juice is a commonly known acidic substance, often used in cooking and cleaning due to its acidic properties.

2. 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.

3. What is the pathway of deoxygenated blood in our body?

• A. From the lungs to the left ventricle
• B. From the body to the right atrium, then to the right ventricle, and finally to the lungs
• C. From the left atrium to the body
• D. From the aorta to the right atrium

Correct answer: B

Rationale: The correct pathway of deoxygenated blood in our body involves blood returning from the body, entering the right atrium, then passing to the right ventricle, and eventually reaching the lungs for oxygenation. This sequence ensures that deoxygenated blood is pumped to the lungs, where it receives oxygen and releases carbon dioxide before circulating back to the body. Choices A, C, and D are incorrect because they do not follow the actual path of deoxygenated blood in the circulatory system.

4. Which of the following are the abdominal quadrants?

• A. RUQ, RLQ, LLQ, LUQ
• B. RUQ, LUQ, RLQ, LLQ
• C. LUQ, RUQ, LLQ, RLQ
• D. LLQ, LUQ, RUQ, RLQ

Correct answer: B

Rationale: The correct answer is B: RUQ, LUQ, RLQ, LLQ. The four abdominal quadrants are named as follows: Right Upper Quadrant (RUQ), Left Upper Quadrant (LUQ), Right Lower Quadrant (RLQ), and Left Lower Quadrant (LLQ). These quadrants are used in healthcare to describe specific areas of the abdomen during assessments and discussions related to abdominal anatomy and pathology. Choices A, C, and D are incorrect because they do not follow the standard order of the abdominal quadrants.

5. Which of the following hormones is produced by the adrenal medulla and prepares the body for a stressful situation?

• A. Testosterone
• B. Cortisol
• C. Epinephrine (adrenaline)
• D. Growth hormone

Correct answer: C

Rationale: The correct answer is C: Epinephrine (adrenaline). Epinephrine is produced by the adrenal medulla and is responsible for preparing the body for a stressful situation. It increases heart rate, dilates airways, and mobilizes energy stores to help the body respond to a fight-or-flight scenario. Testosterone (Choice A) is a sex hormone produced by the testes in males and in smaller amounts by the ovaries in females, not by the adrenal medulla. Cortisol (Choice B) is a stress hormone produced by the adrenal cortex, not the adrenal medulla. Growth hormone (Choice D) is produced by the pituitary gland and is involved in growth, metabolism, and various bodily functions, not by the adrenal medulla.

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