Nursing Elites

1. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

2. What is the role of transfer RNA (tRNA) in protein synthesis?

• A. Transcribes DNA into mRNA
• B. Decodes the genetic code on mRNA
• C. Carries specific amino acids to the ribosomes
• D. Modifies the structure of proteins

Correct answer: C

Rationale: A) Transcribes DNA into mRNA: This is the function of RNA polymerase, not transfer RNA (tRNA). tRNA is involved in protein synthesis, not transcription. B) Decodes the genetic code on mRNA: This is the function of tRNA during translation. tRNA molecules carry specific amino acids and recognize the codons on mRNA, ensuring the correct amino acid is added to the growing polypeptide chain. C) Carries specific amino acids to the ribosomes: This is the primary role of tRNA in protein synthesis. Each tRNA molecule is specific for a particular amino acid and carries it to the ribosome, where it is added to the growing protein chain. D) Modifies the structure of proteins: This is not a function of tRNA. Protein modification can occur after translation is complete and involves other cellular processes and molecules.

3. What is the term for a genetic disorder caused by a mutation on the X chromosome?

• A. Autosomal dominant disorder
• B. Autosomal recessive disorder
• C. Sex-linked recessive disorder
• D. Sex-linked dominant disorder

Correct answer: C

Rationale: A genetic disorder caused by a mutation on the X chromosome is termed a sex-linked recessive disorder (Option C). This type of disorder is more commonly seen in males due to their single X chromosome, making them more vulnerable to X-linked mutations. Females have two X chromosomes, providing a protective effect against X-linked disorders.\n- Autosomal dominant disorders (Option A) result from a mutation in one copy of a gene on non-sex chromosomes (autosomes) and are not specifically related to the X chromosome.\n- Autosomal recessive disorders (Option B) occur due to mutations in both copies of a gene on autosomes, not on the X chromosome.\n- Sex-linked dominant disorders (Option D) are rare and lead to more severe symptoms in males as they only require one copy of the mutated gene on the X chromosome to express the disorder. However, this is not the term for a genetic disorder caused by an X chromosome mutation.

4. What type of particle carries no charge and mediates the strong nuclear force between protons and neutrons?

• A. Electron
• B. Photon
• C. Gluon
• D. Neutrino

Correct answer: C

Rationale: The correct answer is C: Gluon. Gluons are the particles responsible for mediating the strong nuclear force between protons and neutrons. They are the carriers of this force. Choice A, Electron, is incorrect as electrons are negatively charged. Choice B, Photon, is incorrect as photons are chargeless particles of light. Choice D, Neutrino, is incorrect as neutrinos are neutral particles with minimal mass and weak interactions with matter, not involved in mediating the strong nuclear force between protons and neutrons.

5. A researcher wants to investigate the relationship between family income and quality of medical care. Which statement provides the best reason to conduct this investigation?

• A. The researcher can identify affordable medical care to recommend to low-income families.
• B. The investigation can help identify individuals who are healthy so they can maintain their health.
• C. Results of this investigation may identify a group of people who do not receive quality medical care and could benefit from improved medical treatments.
• D. There is a valid reason to conduct this investigation.

Correct answer: C

Rationale: The correct answer is C because identifying a group of individuals who do not receive quality medical care can lead to targeted interventions to improve their access to better medical treatments. This investigation can help address disparities in healthcare and improve outcomes for those in need. Choice A is incorrect because the focus is on identifying those who lack quality medical care, not just affordable care. Choice B is incorrect as it misinterprets the purpose of the investigation, which is to improve medical care for those not receiving quality care, rather than maintaining the health of those already healthy. Choice D is too vague and does not provide a specific reason for conducting the investigation, unlike choice C which highlights the potential benefits of identifying individuals in need of improved medical treatments.

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