Nursing Elites

1. What checkpoint mechanism ensures all chromosomes are attached to the spindle fibers before anaphase begins?

• A. Prometaphase
• B. Metaphase
• C. Cyclin degradation
• D. Sister chromatid cohesion

Correct answer: A

Rationale: A) Prometaphase is the correct answer because it is the stage of mitosis where all chromosomes are attached to the spindle fibers before anaphase begins. During prometaphase, the nuclear envelope breaks down, allowing the spindle fibers to attach to the kinetochores of the chromosomes. This attachment is necessary for proper chromosome alignment and segregation during anaphase. B) Metaphase is incorrect because it is the stage where chromosomes are aligned at the metaphase plate but do not necessarily have all spindle fibers attached. C) Cyclin degradation is incorrect because it is a regulatory mechanism that controls the progression of the cell cycle but is not specifically related to ensuring all chromosomes are attached to spindle fibers. D) Sister chromatid cohesion is incorrect because it refers to the physical connection between sister chromatids that is maintained until anaphase, but it does not ensure that all chromosomes are attached to spindle fibers.

2. Which hormone is responsible for regulating blood sugar levels and is produced by the pancreas?

• A. Insulin
• B. Glucagon
• C. Testosterone
• D. Estrogen

Correct answer: A

Rationale: Insulin is the correct answer. It is the hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose from the blood into cells for energy production or storage. Glucagon, also produced by the pancreas, has the opposite effect of increasing blood sugar levels by promoting the release of stored glucose from the liver. Testosterone and estrogen are sex hormones produced by the testes and ovaries, respectively, and are not directly involved in regulating blood sugar levels.

3. Which of the following substances is NOT a product of cellular respiration?

• A. Carbon dioxide
• B. Water
• C. Oxygen
• D. ATP

Correct answer: C

Rationale: The correct answer is C. Oxygen is not a product of cellular respiration; instead, it is consumed during the process. During cellular respiration, glucose is broken down in the presence of oxygen to produce energy in the form of ATP, carbon dioxide, and water. Carbon dioxide is released as a waste product, water is a byproduct of the chemical reactions, and ATP is the energy currency used by cells. Therefore, options A, B, and D are all products or outcomes of cellular respiration, while oxygen is a reactant.

4. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

5. Acids are generally characterized by a sour taste and the ability to:

• A. Turn litmus paper red
• B. Conduct electricity in solution
• C. Neutralize bases
• D. React explosively with metals

Correct answer: C

Rationale: Acids are known for their sour taste and their ability to neutralize bases, which is a defining characteristic of their acidic nature. When acids neutralize bases, salts and water are formed, highlighting the unique property of acids. The other options are incorrect: Option A, 'Turn litmus paper red,' is a test for acidity but not a defining characteristic of acids; Option B, 'Conduct electricity in solution,' pertains to the electrolytic properties of acids rather than their defining trait; Option D, 'React explosively with metals,' is not a general characteristic of acids. Therefore, the correct feature associated with acids is their capability to neutralize bases, making option C, 'Neutralize bases,' the correct answer.

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