Nursing Elites

1. Which of the following quantities do catalysts alter to control the rate of a chemical reaction?

• A. Substrate energy
• B. Activation energy
• C. Inhibitor energy
• D. Promoter energy

Correct answer: B

Rationale: The correct answer is B: Activation energy. Catalysts function by reducing the activation energy needed for a chemical reaction to proceed. By lowering the activation energy, catalysts facilitate the reaction without being consumed themselves. Substrate energy, inhibitors, and promoters are not directly altered by catalysts in the same way activation energy is. Substrate energy refers to the energy of the reactants, which is not altered by catalysts. Inhibitors increase the activation energy required for a reaction, while promoters enhance the effectiveness of a catalyst but do not represent a quantity altered by catalysts.

2. During which developmental process does the first trimester of gestation roughly correspond?

• A. Embryogenesis
• B. Fertilization
• C. Meiosis
• D. Menstruation

Correct answer: A

Rationale: The correct answer is A: Embryogenesis. The first trimester of gestation involves the process of embryogenesis, where the basic structures of the embryo are formed. This period is critical for the development of major organ systems and the establishment of the embryo's overall body plan. Fertilization occurs at the beginning of pregnancy when the sperm fertilizes the egg, marking the start of embryonic development. Meiosis is a cell division process that produces gametes (sperm and egg cells) with half the number of chromosomes. Menstruation is the shedding of the uterine lining when pregnancy does not occur.

3. The gland located on top of the kidneys responsible for regulating blood pressure and electrolyte balance is the:

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Parathyroid gland

Correct answer: C

Rationale: The gland located on top of the kidneys responsible for regulating blood pressure and electrolyte balance is the adrenal gland. The adrenal gland produces hormones such as cortisol and aldosterone, which play a crucial role in regulating blood pressure and electrolyte balance in the body. The other choices, thyroid gland (choice A), pituitary gland (choice B), and parathyroid gland (choice D), do not have a primary role in regulating blood pressure and electrolyte balance. The thyroid gland is responsible for regulating metabolism, the pituitary gland controls various endocrine functions, and the parathyroid gland regulates calcium levels in the body.

4. During which phase of the cell cycle does DNA replication occur?

• A. Interphase
• B. Mitosis
• C. Meiosis
• D. Cytokinesis

Correct answer: A

Rationale: Interphase is the phase of the cell cycle where the cell spends the majority of its time and is characterized by three subphases: G1 (Gap 1), S (Synthesis), and G2 (Gap 2). DNA replication specifically occurs during the S phase of interphase. This is a crucial step as it ensures that each daughter cell produced during cell division receives an exact copy of the genetic material. Mitosis is responsible for the equal distribution of the replicated DNA to the daughter cells during cell division. Meiosis is a specialized cell division process for gamete production in sexually reproducing organisms, involving two rounds of division to generate haploid cells. Cytokinesis is the final step of the cell cycle, where the cytoplasm divides to complete the formation of two separate daughter cells following nuclear division.

5. What is the medical term for heartburn, a burning sensation in the chest caused by stomach acid?

• A. Dysphagia
• B. Gastroesophageal reflux disease (GERD)
• C. Peptic ulcer
• D. Ulcerative colitis

Correct answer: B

Rationale: A) Dysphagia refers to difficulty swallowing and is not specifically related to heartburn. B) Gastroesophageal reflux disease (GERD) is the medical term for heartburn, which is a burning sensation in the chest caused by stomach acid flowing back up into the esophagus. C) Peptic ulcer is a sore that develops on the lining of the stomach, small intestine, or esophagus, and it can cause symptoms such as abdominal pain, not specifically heartburn. D) Ulcerative colitis is a type of inflammatory bowel disease that affects the colon and rectum, and it does not typically cause heartburn.

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