Nursing Elites

1. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

2. A light ray travels from air (refractive index 1.00) into water (refractive index 1.33). What happens to its speed and direction?

• A. Speed increases, direction bends towards the normal.
• B. Speed increases, direction bends away from the normal.
• C. Speed decreases, direction bends towards the normal.
• D. Speed and direction remain unchanged.

Correct answer: C

Rationale: When a light ray travels from air (lower refractive index) to water (higher refractive index), its speed decreases due to the change in the medium. This is because light travels slower in denser mediums. As the light ray enters the denser medium, water in this case, it bends towards the normal (the line perpendicular to the surface of the water). This phenomenon is known as refraction. Choice A is incorrect as the speed of light decreases when entering a denser medium. Choice B is incorrect as the direction bends towards the normal, not away from it. Choice D is incorrect as the speed and direction of the light ray do change when moving from air to water.

3. A routine urinalysis is a common diagnostic test. What does a urinalysis typically evaluate?

• A. Blood sugar levels
• B. Presence of white blood cells (indicating possible infection)
• C. Kidney function
• D. All of the above

Correct answer: D

Rationale: A routine urinalysis evaluates multiple components of urine, including blood sugar levels, the presence of white blood cells indicating a possible infection, and kidney function. Blood sugar levels are assessed to monitor for conditions like diabetes. The presence of white blood cells is checked to detect possible urinary tract infections. Kidney function is evaluated by assessing markers like creatinine and protein levels. Therefore, all of the above options are typically evaluated in a urinalysis, making choice D the correct answer.

4. Which of the following characteristics is part of a person's genotype?

• A. Brown eyes that appear hazel in the sunlight
• B. The CFTR gene, which causes cystic fibrosis
• C. Black hair that grows rapidly
• D. Being a fast runner

Correct answer: B

Rationale: The correct answer is B. A genotype refers to a person's genetic makeup, which includes specific genes like the CFTR gene responsible for cystic fibrosis. Genes are the units of heredity and are part of an individual's genotype, influencing various traits and characteristics. Choice A, brown eyes that appear hazel in the sunlight, refers to a phenotype, which is the observable characteristics resulting from the interaction of genes and the environment. Choice C, black hair that grows rapidly, also describes a phenotype rather than a genotype. Choice D, being a fast runner, is a trait influenced by a combination of genetic and environmental factors, but it does not directly relate to a specific gene in the genotype.

5. In the context of cholesterol levels, LDL cholesterol is often referred to as:

• A. HDL or "good" cholesterol.
• B. LDL or "bad" cholesterol.
• C. Total cholesterol, encompassing both LDL and HDL.
• D. VLDL, a type of triglyceride transported in the bloodstream.

Correct answer: B

Rationale: LDL cholesterol is often referred to as "bad" cholesterol because high levels of LDL can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke. LDL cholesterol is considered harmful as it contributes to the formation of plaque in blood vessels, whereas HDL cholesterol helps remove LDL from the arteries. Choice A is incorrect because HDL is known as "good" cholesterol, which helps remove LDL cholesterol from the bloodstream. Choice C is incorrect as it refers to total cholesterol, which includes LDL, HDL, and other lipids. Choice D is incorrect as VLDL is a different type of lipoprotein that carries triglycerides and is not specifically related to LDL cholesterol.

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