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. Which types of molecules can move through a cell membrane by passive transport?

• A. Complex sugars
• B. Non-lipid soluble molecules
• C. Oxygen
• D. Molecules moving from areas of low concentration to areas of high concentration

Correct answer: C

Rationale: The correct answer is C: Oxygen. Small, non-polar molecules like oxygen can easily pass through the cell membrane by passive transport as they move down their concentration gradient without the need for energy input. Complex sugars (choice A) are typically too large to pass through the membrane by passive transport. Non-lipid soluble molecules (choice B) may require active transport mechanisms. Choice D describes active transport, where molecules move against their concentration gradient, requiring energy input.

3. What is the technical term for the free edges of your fingernails and toenails?

• A. Lunula (The lunula is the white crescent moon shape at the base of the nail)
• B. Matrix (The matrix is the area under the nail where new nail cells are produced)
• C. Hyponychium (This is the skin under the free edge of the nail)
• D. Free edge

Correct answer: C

Rationale: The correct answer is C, hyponychium. The hyponychium is the skin under the free edge of the nail, responsible for sealing the nail to the fingertip and protecting the nail bed from bacteria and debris. The lunula (choice A) refers to the white crescent moon shape at the base of the nail. The matrix (choice B) is the area under the nail where new nail cells are produced. The free edge (choice D) is the part of the nail that extends beyond the fingertip or toe.

4. Which of the following is NOT a component of the genitourinary system?

• A. The kidneys
• B. The urethra
• C. The rectum
• D. The bladder

Correct answer: C

Rationale: The rectum is part of the digestive system, not the genitourinary system. The genitourinary system comprises organs involved in reproduction and urine formation and excretion, such as the kidneys, urethra, and bladder. Choices A, B, and D are all components of the genitourinary system. The kidneys filter blood and produce urine, the urethra is a tube that carries urine from the bladder out of the body, and the bladder stores urine before it is excreted.

5. 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.

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