Nursing Elites

1. Elements tend to gain or lose electrons to achieve stable electron configurations like those of noble gases. Their group number often indicates the number of electrons gained/lost and the resulting ionic charge, providing a good starting point for prediction.

• A. Ionic bonds involve electron sharing, while metallic bonds involve electron transfer
• B. Ionic bonds are weak and directional, while metallic bonds are strong and non-directional
• C. Ionic bonds exist between metals and non-metals, while metallic bonds exist only between metals
• D. Ionic bonds form discrete molecules, while metallic bonds form extended structures

Correct answer: D

Rationale: Ionic bonds involve complete electron transfer between atoms, creating strong, non-directional electrostatic attraction. Metallic bonds involve a delocalized "sea" of electrons shared across all metal atoms, resulting in a strong, extended structure.

2. Which of the following is the best guarantee that the patient’s priority needs are met?

• A. Checking with the relative of the patient
• B. Preparing a nursing care plan in collaboration with the patient
• C. Consulting with the physician
• D. Coordinating with other members of the team

Correct answer: B

Rationale: Preparing a nursing care plan in collaboration with the patient is the best guarantee that the patient's priority needs are met because it involves actively involving the patient in their own care. This approach ensures that the patient's preferences, concerns, and priorities are taken into account when planning their care. Checking with the relative of the patient, consulting with the physician, and coordinating with other team members are important aspects of patient care, but collaborating with the patient directly ensures a patient-centered approach that addresses their individual needs and preferences.

3. Which of the following is a common property of bases?

• A. Conductivity in aqueous solutions
• B. Sour taste
• C. Reactivity with metals to produce hydrogen gas
• D. Turns red litmus paper blue

Correct answer: D

Rationale: Bases are substances that can accept protons or donate hydroxide ions in a chemical reaction. One common property of bases is that they turn red litmus paper blue. This is a classic test to distinguish between acids (which turn blue litmus paper red) and bases. Conductivity in aqueous solutions (Option A) is a property of both acids and bases, sour taste (Option B) is a property of acids, and reactivity with metals to produce hydrogen gas (Option C) is a property of acids, not bases.

4. The three main types of muscle tissue in the human body are:

• A. Smooth, cardiac, and voluntary skeletal
• B. Smooth, skeletal, and involuntary cardiac
• C. Voluntary smooth, cardiac, and skeletal
• D. Striated, non-striated, and epithelial

Correct answer: A

Rationale: The correct answer is A: Smooth, cardiac, and voluntary skeletal. Smooth muscle is found in the walls of internal organs and blood vessels, cardiac muscle makes up the heart, and voluntary skeletal muscle is attached to the bones and responsible for movement. Choice B is incorrect because cardiac muscle is involuntary, not voluntary. Choice C is incorrect because smooth muscle and cardiac muscle are involuntary, not voluntary. Choice D is incorrect because 'striated' and 'non-striated' refer to the appearance of muscle fibers, not the main types of muscle tissue in the body.

5. In what way does spindle fiber dynamics and microtubule attachment regulate cell cycle checkpoints?

• A. Misaligned chromosomes fail to attach to microtubules, triggering a delay in anaphase onset.
• B. The presence of unattached kinetochores on the centromeres sends a signal to pause cell cycle progression.
• C. Microtubule instability and rapid depolymerization lead to the activation of checkpoint proteins.
• D. All of the above.

Correct answer: D

Rationale: Rationale: A) Misaligned chromosomes fail to attach to microtubules, triggering a delay in anaphase onset: During cell division, proper attachment of chromosomes to spindle fibers is crucial for accurate segregation of genetic material. If chromosomes are not correctly attached to microtubules, it can lead to misalignment, which triggers a delay in anaphase onset. This delay allows the cell to correct any errors before proceeding with cell division. B) The presence of unattached kinetochores on the centromeres sends a signal to pause cell cycle progression: Kinetochores are protein structures located at the centromere of chromosomes and are responsible for attaching chromosomes to spindle fibers. When kinetochores are unattached or improperly attached to microtubules, it sends a signal to the cell to pause cell cycle progression. This pause allows the cell to ensure that all chromosomes are properly aligned before proceeding with cell division.

6. What are the two main types of nuclear decay, and what differentiates them?

• A. Fission and fusion, based on the size of the nucleus
• B. Alpha and beta decay, based on the emitted particle.
• C. Spontaneous and induced decay, based on the trigger.
• D. Isotope decay and chain reactions, based on the stability of the nucleus.

Correct answer: B

Rationale: The two main types of nuclear decay are alpha and beta decay, based on the emitted particle. In alpha decay, an alpha particle (which consists of two protons and two neutrons) is emitted from the nucleus. In beta decay, a beta particle (either an electron or a positron) is emitted from the nucleus. These types of decay are differentiated by the particles they emit, rather than the size of the nucleus, trigger, or stability of the nucleus.

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