Nursing Elites

1. Which of the following quantities do catalysts alter to control the rate of a chemical reaction?

• A. Substrate energy
• B. Activation energy
• C. Inhibitor energy
• D. Promoter energy

Correct answer: B

Rationale: The correct answer is B: Activation energy. Catalysts function by reducing the activation energy needed for a chemical reaction to proceed. By lowering the activation energy, catalysts facilitate the reaction without being consumed themselves. Substrate energy, inhibitors, and promoters are not directly altered by catalysts in the same way activation energy is. Substrate energy refers to the energy of the reactants, which is not altered by catalysts. Inhibitors increase the activation energy required for a reaction, while promoters enhance the effectiveness of a catalyst but do not represent a quantity altered by catalysts.

2. Which structure in the skin is responsible for producing oil that keeps the skin and hair moisturized?

• A. Sudoriferous gland
• B. Sebaceous gland
• C. Hair follicle
• D. Melanocyte

Correct answer: B

Rationale: The correct answer is B: Sebaceous gland. Sebaceous glands are responsible for producing oil (sebum) that keeps the skin and hair moisturized. Sudoriferous glands produce sweat, not oil, and are involved in temperature regulation. Hair follicles are responsible for hair growth and do not produce oil directly. Melanocytes are cells responsible for producing melanin, the pigment that gives skin its color, and are not involved in oil production.

3. Which muscle has involuntary cells that are branched and striated and connected by intercalated discs with gap junctions?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Epithelial muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle cells fit the description provided in the question; they are involuntary, striated, and branched, with intercalated discs containing gap junctions that allow for synchronized contractions of the heart. Smooth muscle (choice A) lacks striations and is found in the walls of internal organs. Skeletal muscle (choice C) is voluntary and attaches to bones for movement. 'Epithelial muscle' (choice D) is not a valid muscle type, making it an incorrect choice.

4. What mineral is essential for muscle function and can cause cramps if deficient?

• A. Sodium
• B. Calcium
• C. Potassium
• D. Magnesium

Correct answer: C

Rationale: Potassium is essential for muscle function, including muscle contraction. A deficiency in potassium can lead to muscle weakness and cramps. While sodium, calcium, and magnesium are also important minerals for muscle function, potassium is specifically known for its role in preventing muscle cramps by regulating muscle contractions and nerve signals.

5. 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.

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