Nursing Elites

1. Electrons occupy specific energy levels around the nucleus, but not in fixed orbits. This concept is captured by the:

• A. Bohr model
• B. Quantum mechanical model
• C. Lewis structure
• D. Octet rule

Correct answer: B

Rationale: The correct answer is the Quantum mechanical model. Unlike the Bohr model with its defined electron paths, the quantum mechanical model uses probability distributions to describe electron locations within energy levels. Choice A, the Bohr model, describes fixed electron orbits, which is not in line with the concept of electron distribution in energy levels. Choices C and D, Lewis structure and Octet rule respectively, are not related to the description of electron distribution around the nucleus in energy levels, making them incorrect answers.

2. Which hormone deficiency can lead to stunted growth and developmental delays in children?

• A. Estrogen
• B. Testosterone
• C. Growth hormone
• D. Insulin

Correct answer: C

Rationale: The correct answer is C, Growth hormone. Growth hormone plays a crucial role in stimulating growth, cell reproduction, and regeneration in children. A deficiency in growth hormone can lead to stunted growth and developmental delays. Estrogen and testosterone are sex hormones that do not directly influence growth in the same way as growth hormone. Insulin primarily regulates blood sugar levels and is not the primary hormone responsible for growth and development in children.

3. 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: C

Rationale: Ionic bonds typically form between metals and non-metals, where one atom donates electrons (cation) and the other accepts electrons (anion). This results in the transfer of electrons. Metallic bonds, on the other hand, occur between metal atoms where electrons are shared among a sea of delocalized electrons, leading to the characteristic properties of metals like malleability and conductivity. Choice A is incorrect because ionic bonds involve electron transfer, not sharing. Choice B is incorrect as ionic bonds are strong, not weak, and are non-directional, while metallic bonds are strong and non-directional. Choice D is incorrect as ionic bonds do not form discrete molecules but rather a lattice structure, whereas metallic bonds form extended structures.

4. What is the main consequence of a malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones?

• A. Increased energy levels and weight loss
• B. Decreased heart rate and body temperature
• C. Enhanced muscle growth and bone development
• D. Faster metabolism and heightened alertness

Correct answer: B

Rationale: The correct answer is B: Decreased heart rate and body temperature. A malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones leads to hypothyroidism, resulting in decreased metabolic activity. This reduction in metabolic rate can cause a decreased heart rate and lower body temperature. Choices A, C, and D are incorrect because hypothyroidism typically manifests as symptoms such as fatigue, weight gain, cold intolerance, bradycardia, and decreased body temperature, rather than increased energy levels, enhanced muscle growth, faster metabolism, or heightened alertness.

5. Which of the following is NOT an example of a homeostatic mechanism?

• A. Shivering when the body temperature falls.
• B. Increasing heart rate when blood pressure is low.
• C. Weight gain when consuming excess calories.
• D. Secreting insulin to decrease blood sugar concentration.

Correct answer: C

Rationale: Weight gain when consuming excess calories is not an example of a homeostatic mechanism. Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. The other options listed (A, B, and D) involve physiological responses aimed at restoring balance or stability within the body (e.g., regulating body temperature, blood pressure, and blood sugar levels). Shivering, increasing heart rate, and secreting insulin are mechanisms to counteract specific imbalances and maintain internal equilibrium. In contrast, weight gain due to excess calorie intake does not represent a specific regulatory mechanism but rather an outcome of energy imbalance. The body stores excess energy as fat rather than actively regulating a physiological parameter to restore balance.

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