Nursing Elites

1. Which of the following substances is NOT typically found in healthy urine?

• A. Urea
• B. Glucose
• C. Creatinine
• D. Electrolytes

Correct answer: B

Rationale: Glucose is not typically found in healthy urine because the kidneys usually filter glucose from the blood and reabsorb it back into the bloodstream. The presence of glucose in urine, known as glucosuria, is usually indicative of diabetes or other medical conditions affecting glucose regulation. On the other hand, urea, creatinine, and electrolytes are commonly present in healthy urine as byproducts of metabolism and electrolyte balance. Urea is a waste product of protein metabolism, creatinine is a waste product of muscle metabolism, and electrolytes are essential for various physiological functions in the body. Therefore, choices A, C, and D are typically found in healthy urine, making them incorrect answers.

2. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

3. Which organ is responsible for detoxifying harmful substances in the body?

• A. Kidneys
• B. Liver
• C. Heart
• D. Pancreas

Correct answer: B

Rationale: The correct answer is the Liver. The liver is the organ responsible for detoxifying harmful substances in the body. It accomplishes this by metabolizing drugs and filtering blood. The liver plays a crucial role in maintaining overall health by processing and eliminating toxins. Choices A, C, and D are incorrect. The kidneys primarily filter blood to remove waste and excess substances, the heart is responsible for pumping blood throughout the body, and the pancreas aids in digestion and regulating blood sugar levels, but none of these organs are primarily responsible for detoxification.

4. What function do hydrophobic proteins often provide in the body?

• A. Digestive enzymes
• B. Provide structure
• C. Carry oxygen molecules
• D. Store energy

Correct answer: B

Rationale: Hydrophobic proteins are known for their ability to repel water and are often involved in providing structural support in cells and tissues. They help maintain the structural integrity and shape of cell membranes, organelles, and other cellular components. Choice A, digestive enzymes, typically consist of hydrophilic proteins that interact with water and substrates to facilitate digestion. Choice C, carrying oxygen molecules, is a function commonly associated with specific proteins like hemoglobin. Choice D, storing energy, is usually performed by proteins like enzymes involved in energy storage and release, such as glycogen phosphorylase.

5. What cellular process ensures the accurate transmission of genetic material during cell division?

• A. Mitosis (somatic cell division)
• B. Meiosis (germ cell division)
• C. Replication (DNA duplication)
• D. Transcription (DNA to RNA conversion)

Correct answer: A

Rationale: Mitosis is the correct answer. Mitosis is the process by which somatic cells divide to produce two identical daughter cells. During mitosis, the genetic material is accurately replicated and distributed to ensure each daughter cell receives a complete set of chromosomes. This process is crucial for growth, repair, and maintenance of multicellular organisms. Meiosis, on the other hand, is the type of cell division that occurs in germ cells to produce gametes (sperm and egg cells), focusing on genetic diversity through recombination and reduction of chromosome number. Replication is the process of copying DNA to produce an identical copy, essential for cell division but not the specific process ensuring accurate genetic material transmission. Transcription involves copying DNA into RNA, crucial for gene expression but not directly related to the accurate transmission of genetic material during cell division.

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