Most enzymes function optimally at pH?

Questions 46

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NCLEX Questions on the Renal System Questions

Question 1 of 5

Most enzymes function optimally at pH?

Correct Answer: B

Rationale: Most human enzymes function optimally at a physiological pH of 7.4, close to blood pH (7.35-7.45), where their active sites maintain proper conformation for catalysis. A pH of 7.8 (A) is slightly alkaline, 6.8 (C) is too acidic for most, and 2 (D) suits gastric enzymes like pepsin, not the majority, making B correct.

Question 2 of 5

What is the primary function of the kidneys in the urinary system?

Correct Answer: B

Rationale: The kidneys' primary function is blood filtration (B), removing waste (e.g., urea), regulating electrolytes, and maintaining fluid/acid-base balance via glomeruli, producing filtrate for urine. Storage (A) is the bladder's role, contractions (C) aid micturition, and urethra expansion (D) is minor, making B the core function.

Question 3 of 5

Concerning the measurement of renal plasma flow (RPF) and glomerular filtration rate (GFR):

Correct Answer: D

Rationale: Inulin measures GFR (A) as it's filtered without tubular handling, its concentration rises in the proximal tubule (B) due to water reabsorption, and PAH measures RPF (C) as it's filtered and secreted, clearing most from plasma. All are true: inulin's properties suit GFR, its concentration reflects reabsorption, and PAH's clearance reflects RPF, making E (all are correct), reassigned as D, correct.

Question 4 of 5

AII

Correct Answer: D

Rationale: Angiotensin II (AII) increases sodium reabsorption (D) in the proximal tubule and via aldosterone, raising blood volume. It indirectly aids water (A), doesn't decrease sodium (B), and isn't self-forming (C), making D the key effect.

Question 5 of 5

Match the description 'Passively permeable to water under ADH stimulation' to the structure: A) proximal convoluted tubule, B) descending limb of the nephron loop, C) collecting duct, D) ascending limb of the nephron loop.

Correct Answer: C

Rationale: The collecting duct (C) becomes water-permeable with ADH via aquaporin-2, concentrating urine. The proximal tubule (A) and descending limb (B) are always permeable, and ascending limb (D) is not, making C the ADH-dependent match.

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