Nursing Elites

1. What is the final phase of mitosis?

• A. Prophase
• B. Telophase
• C. Anaphase
• D. Metaphase

Correct answer: B

Rationale: Telophase is indeed the final phase of mitosis. During telophase, the chromosomes have reached opposite poles of the cell, the nuclear envelope is re-forming around the separated sister chromatids, and cytokinesis may also occur, leading to the division of the cell into two daughter cells. Choice A, Prophase, is incorrect as it is the initial phase of mitosis where chromatin condenses into chromosomes. Choice C, Anaphase, is incorrect as it is the phase where sister chromatids separate and move towards opposite poles. Choice D, Metaphase, is incorrect as it is the phase where chromosomes align at the cell's equator before separating.

2. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

3. 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.

4. 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.

5. The 'fight-or-flight' response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

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