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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A patient with severe anorexia nervosa is admitted to the hospital for medical treatment. The patient presents with severe malnutrition and evidence of organ dysfunction. Labs are drawn and maintenance IV fluids are initiated. -You are knowledgeable about cellular metabolism.Which of the following processes is common to fermentation,anaerobic respiration,and aerobic respiration?


A) glycolysis
B) the Krebs cycle
C) the electron transport system
D) glycosylation

E) A) and D)
F) B) and C)

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The fermentation process always produces alcohol as at least one of its products.

A) True
B) False

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Most electron carriers are


A) coenzymes.
B) enzymes.
C) hydrogens.
D) inorganic phosphates.
E) All of the choices are correct.

F) A) and B)
G) A) and E)

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When glucose is broken down by glycolysis during bacterial fermentation,how many ATP are generated?


A) 2 ATP
B) 3 ATP
C) 24 ATP
D) 36 ATP
E) 38 ATP

F) D) and E)
G) A) and B)

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Microbes can utilize only carbohydrates for energy production.

A) True
B) False

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In the cell,energy released by electrons is often used to phosphorylate


A) ATP.
B) ADP.
C) pyruvic acid.
D) oxygen.
E) NAD.

F) A) and B)
G) C) and D)

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Each of the following is true of enzymes except


A) they can be used over and over.
B) they may or may not require cofactors.
C) their active site is specific to the substrate.
D) they increase the initial energy required for a reaction to start.
E) All of the choices are true of enzymes.

F) A) and B)
G) A) and C)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A newborn infant screening yields a positive result for biotinidase deficiency. As the RN, you provide education for the patient’s parents regarding the role of enzymes in metabolism and this enzyme deficiency disorder. -Which of the following statements,by the patient's mother,best represents an understanding of metabolism?


A) "Metabolism involves the production of enzymes."
B) "Metabolism involves all chemical reactions and physical workings of the cell."
C) "Metabolism involves the consumption of energy for workings of the cell."
D) "Metabolism involves the production of energy for workings of the cell."

E) B) and C)
F) A) and D)

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Glycolysis


A) uses 2 ATPs,produces 2 ATPs,and requires oxygen.
B) uses 2 ATPs,produces 4 ATPs,and requires oxygen.
C) uses 2 ATPs,produces 4 ATPs,without using oxygen.
D) uses 2 ATPs,produces 2 ATPs,without using oxygen.
E) None of the choices is correct.

F) C) and D)
G) B) and C)

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FAD,NAD,and coenzyme A are all _____ carriers.


A) hydrogen
B) electron
C) ATP
D) hydrogen and electron
E) None of the choices is correct.

F) A) and B)
G) A) and C)

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Each FADH2 from the Krebs cycle enters the electron transport system and gives rise to a maximum of _____ ATP(s) .


A) 1
B) 2
C) 3
D) 4
E) 5

F) D) and E)
G) A) and B)

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The cell's metabolic reactions involve the participation of _____ that lower the activation energy needed for the initiation of a reaction.


A) cofactors
B) vitamins
C) enzymes
D) ATP
E) coenzymes

F) A) and B)
G) A) and C)

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C

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A patient with severe anorexia nervosa is admitted to the hospital for medical treatment. The patient presents with severe malnutrition and evidence of organ dysfunction. Labs are drawn and maintenance IV fluids are initiated. -As the RN,you are familiar with ATP production in bacterial and eukaryotic cells.How many ATP do you expect aerobic respiration to yield in the patient's cells?


A) 2 ATP
B) 38 ATP
C) 36 ATPs
D) ATP yield is unpredictable.

E) A) and B)
F) A) and C)

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C

An apoenzyme is


A) part of a simple enzyme.
B) also called a coenzyme.
C) the protein part of a holoenzyme.
D) often an inorganic metal ion.
E) an RNA molecule.

F) B) and E)
G) C) and D)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A 67-year-old patient with severe sepsis undergoes a full infectious workup upon admittance to the intensive care unit. Cultures of urine, blood, sputum, and cerebral spinal fluid are obtained. The cultures do not yield a specific organism, so further analysis of the sample is done to determine the characteristics of the microorganism. The metabolic processes are analyzed in the lab. -The organism sample is further tested and found to grow in the absence of oxygen.Which of three main pathways of catabolism may this organism utilize to produce energy in the absence of free oxygen?


A) aerobic respiration and fermentation
B) anaerobic respiration and aerobic respiration
C) fermentation and anaerobic respiration
D) aerobic respiration,anaerobic respiration,and fermentation

E) A) and B)
F) None of the above

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All aerobic bacterial species have identical electron acceptors in their electron transport systems.

A) True
B) False

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Which of the following is not true of anaerobic respiration?


A) involves glycolysis
B) generates some ATP
C) utilizes an electron transport system
D) uses the same final electron acceptors as aerobic respiration

E) None of the above
F) B) and C)

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D

The formation of citrate from oxaloacetate and an acetyl-CoA begins


A) glycolysis.
B) the electron transport system.
C) the Krebs cycle.
D) fermentation.
E) oxidative phosphorylation.

F) A) and E)
G) B) and C)

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Deamination is the removal of a(n) _____ group in proteins.


A) carboxyl
B) amino
C) phosphate
D) hydroxyl
E) None of the choices is correct.

F) A) and E)
G) D) and E)

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Each of the following are denaturing agents except


A) high temperature.
B) low temperature.
C) high pH.
D) low pH.
E) All of the choices are correct.

F) B) and E)
G) A) and B)

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