Nursing Elites

1. What is the process of converting lactic acid back into pyruvate called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Cori cycle
• D. Oxidative phosphorylation

Correct answer: C

Rationale: A) Glycolysis is the process of breaking down glucose into pyruvate. B) Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources. C) The Cori cycle is the process by which lactic acid produced by anaerobic metabolism in muscles is transported to the liver and converted back into glucose or pyruvate. D) Oxidative phosphorylation is the process by which ATP is synthesized using energy derived from the transfer of electrons in the electron transport chain.

2. What is the approximate composition of blood?

• A. 45% plasma, 55% formed elements
• B. 55% plasma, 45% formed elements
• C. 55% water, 45% blood cells
• D. 45% water, 55% plasma

Correct answer: B

Rationale: Blood is composed of approximately 55% plasma (mostly water with proteins, electrolytes, and nutrients) and 45% formed elements (red blood cells, white blood cells, and platelets). Choice B is the correct answer. Choice A is incorrect as it reverses the percentages. Choice C is incorrect because it incorrectly states that blood cells make up 45% of blood, while they are part of the formed elements along with platelets. Choice D is incorrect as it suggests that water makes up 45% of blood, which is not accurate.

3. What type of bond links amino acids together to form proteins?

• A. Hydrogen bond
• B. Ionic bond
• C. Disulfide bond
• D. Covalent bond

Correct answer: D

Rationale: Amino acids are linked together by covalent bonds to form proteins. Specifically, the bond that links amino acids together is called a peptide bond, which is a type of covalent bond. The peptide bond forms between the amino group of one amino acid and the carboxyl group of another amino acid, resulting in the formation of a peptide chain. While hydrogen bonds, ionic bonds, and disulfide bonds are important for protein structure and stability, the primary bond responsible for linking amino acids in a protein chain is the covalent peptide bond. Hydrogen bonds are involved in maintaining the secondary structure of proteins, such as alpha helices and beta sheets. Ionic bonds and disulfide bonds contribute to tertiary and quaternary structures of proteins by stabilizing interactions between different parts of the protein or between different protein subunits, respectively.

4. What is the term for a solution that contains less solute than the maximum amount it could dissolve at a specific temperature and pressure?

• A. Saturated solution
• B. Unsaturated solution
• C. Supersaturated solution
• D. Concentrated solution

Correct answer: B

Rationale: An unsaturated solution is a solution that contains less solute than the maximum amount it could dissolve at a specific temperature and pressure. In an unsaturated solution, more solute can still be added and dissolved in the solvent. Choice A, a saturated solution, refers to a solution in which the maximum amount of solute has been dissolved at a specific temperature and pressure, leading to equilibrium. Choice C, a supersaturated solution, contains more solute than it can normally hold at a specific temperature and pressure, achieved through special conditions followed by rapid cooling or evaporation. Choice D, a concentrated solution, refers to a solution with a high amount of solute compared to the amount of solvent, regardless of reaching the saturation point.

5. How are the motor pathways of the ANS arranged?

• A. Single neuron from CNS to target organ
• B. Two neurons, a pre-ganglionic and post-ganglionic neuron
• C. Multiple neurons from CNS to target organ
• D. Single neuron from CNS to peripheral ganglia

Correct answer: B

Rationale: The correct answer is B. The motor pathways of the autonomic nervous system (ANS) are organized with two neurons: a pre-ganglionic neuron that transmits the signal from the central nervous system (CNS) to a ganglion, and a post-ganglionic neuron that conveys the signal from the ganglion to the target organ. This dual-neuron pathway enables the integration and modulation of signals before reaching the target organ, allowing for a more sophisticated and adaptable control system. Choice A is incorrect as it describes a single neuron pathway, which is not characteristic of ANS motor pathways. Choice C is incorrect as it suggests multiple neurons from the CNS to the target organ, which is not the typical arrangement. Choice D is incorrect as it describes a single neuron pathway from the CNS to peripheral ganglia, which does not account for the ganglionic transmission in ANS motor pathways.

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