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. The pancreas secretes digestive enzymes into the small intestine. What enzyme breaks down proteins into amino acids?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: D

Rationale: Trypsin is the correct enzyme that breaks down proteins into amino acids. It is produced by the pancreas and released into the small intestine to facilitate protein digestion. Pepsin is an enzyme from the stomach that also breaks down proteins, amylase targets carbohydrates, and lipase works on fats. In this context, since the question specifies the pancreas and small intestine, the correct answer is Trypsin as it is the pancreatic enzyme responsible for protein breakdown in the small intestine.

3. 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.

4. Which of the following structures is found in the nucleus of a cell?

• A. Mitochondria
• B. Endoplasmic reticulum
• C. Chromosomes
• D. Ribosomes

Correct answer: C

Rationale: Chromosomes, which contain genetic information, are found in the nucleus of a cell. They play a crucial role in cell division, gene expression, and inheritance. Mitochondria, responsible for energy production, are located in the cytoplasm, not the nucleus. The endoplasmic reticulum is mainly involved in protein and lipid synthesis and is not a component of the nucleus. Ribosomes, essential for protein synthesis, are found in the cytoplasm and on the endoplasmic reticulum, but not in the nucleus.

5. What is the first number in a blood pressure reading?

• A. Diastolic pressure
• B. Mean arterial pressure
• C. Pulse rate
• D. Systolic pressure

Correct answer: D

Rationale: The correct answer is D: Systolic pressure. In a blood pressure reading, the first number represents the systolic pressure, which is the maximum pressure in the arteries during heart contraction. The second number in the reading is the diastolic pressure, which indicates the pressure in the arteries when the heart is at rest. Choices A, B, and C are incorrect because diastolic pressure, mean arterial pressure, and pulse rate are not the first numbers in a blood pressure reading.

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