Nursing Elites

1. Patient A, who weighs 68 kilograms, steps onto a scale 20 times. The scale consistently weighs Patient A as 75 kilograms. What is true of the measurement?

• A. It is valid, but not reliable.
• B. It is reliable, but not valid.
• C. It is both valid and reliable.
• D. It is neither reliable nor valid.

Correct answer: B

Rationale: The correct answer is B: 'It is reliable, but not valid.' The measurement is reliable because it consistently provides the same result (75 kg). However, it is not valid because it does not accurately reflect the true weight of Patient A (68 kg). Choice A is incorrect because if the scale consistently shows the same weight (75 kg), it is reliable. Choice C is incorrect because although the scale is consistent, the measurement does not reflect the true weight, making it not valid. Choice D is incorrect as the measurement is reliable but lacks validity.

2. What kind of bond connects sugar and phosphate in DNA?

• A. hydrogen
• B. ionic
• C. covalent
• D. overt

Correct answer: C

Rationale: Sugar and phosphate are indeed connected by covalent bonds in DNA. Covalent bonds involve the sharing of electrons between atoms, which is essential for forming the backbone of the DNA molecule. Hydrogen bonds (Choice A) are important in holding the nitrogenous bases together in the DNA double helix but do not connect sugar and phosphate. Ionic bonds (Choice B) involve the transfer of electrons between atoms and are not the primary bond connecting sugar and phosphate in DNA. 'Overt' (Choice D) is not a type of chemical bond and is an incorrect distractor.

3. In an example of a male with hemophilia and a female carrier, what ratio of the offspring is predicted to have the disease?

• A. 0 female : 2 males
• B. 1 female : 0 males
• C. 1 female : 2 males
• D. 2 females : 1 male

Correct answer: C

Rationale: In this scenario, the male offspring will inherit the hemophilia trait from their mother due to the sex-linked inheritance pattern. The female offspring will inherit one X chromosome from their mother, becoming carriers of hemophilia. Therefore, the predicted ratio of offspring with the disease would be 1 female as a carrier and 2 males with hemophilia. Choice A is incorrect because there would be male offspring with the disease. Choice B is incorrect as there would be male offspring with hemophilia. Choice D is incorrect as it does not reflect the inheritance pattern of hemophilia.

4. Which part of cellular respiration produces the greatest amount of ATP?

• A. electron transport chain
• B. glycolysis
• C. citric acid cycle
• D. fermentation

Correct answer: A

Rationale: The electron transport chain (ETC) produces the greatest amount of ATP during cellular respiration. This process occurs in the inner mitochondrial membrane and involves the transfer of electrons through a series of protein complexes, creating a proton gradient that drives the synthesis of ATP. By utilizing the energy from the electron carriers NADH and FADH2 produced in earlier stages of cellular respiration, the ETC can generate a large amount of ATP efficiently through oxidative phosphorylation. Glycolysis only produces a small amount of ATP in comparison to the ETC. The citric acid cycle generates some ATP but not as much as the ETC. Fermentation does not produce ATP through oxidative phosphorylation and yields a much smaller amount of ATP compared to the ETC.

5. Why is DNA important for the metabolic activities of the cell?

• A. It initiates cellular mitosis.
• B. It provides cell wall stability.
• C. It increases glucose absorption.
• D. It controls the synthesis of enzymes.

Correct answer: D

Rationale: DNA is important for the metabolic activities of the cell because it controls the synthesis of enzymes. Enzymes are essential for catalyzing metabolic reactions in the cell. Choices A, B, and C are incorrect because DNA is not directly involved in cellular mitosis, cell wall stability, or glucose absorption.

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