Nursing Elites

1. Isotopes are variants of a single element that differ in:

• A. Having the same number of protons but varying numbers of neutrons
• B. Having the same number of neutrons but varying numbers of protons
• C. Having the same mass but different atomic numbers
• D. None of the above

Correct answer: A

Rationale: Isotopes are variants of a single element that have the same number of protons, the defining characteristic of an element. They differ in the number of neutrons they possess, leading to isotopes having different atomic masses while retaining the same chemical properties. Choice B is incorrect because isotopes have the same number of neutrons and differ in the number of protons. Choice C is incorrect because isotopes have different masses due to varying numbers of neutrons, not different atomic numbers. Choice D is incorrect as isotopes do differ in the number of neutrons they possess.

2. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

3. What type of bond holds water molecules together?

• A. Covalent bond
• B. Hydrogen bond
• C. Ionic bond
• D. Peptide bond

Correct answer: B

Rationale: The correct answer is B: Hydrogen bond. Hydrogen bonds are responsible for holding water molecules together. In a water molecule, the oxygen atom is slightly negative, and the hydrogen atoms are slightly positive, creating a partial positive and negative charge. This polarity allows hydrogen bonds to form between adjacent water molecules. Covalent bonds involve the sharing of electrons, ionic bonds involve transfer of electrons between ions, and peptide bonds are specific to linking amino acids in proteins, which are not relevant to water molecule interactions.

4. What is the primary source of energy entering most ecosystems?

• A. Chemical energy stored in bonds
• B. Thermal energy from the Earth's core
• C. Light energy from the sun
• D. Kinetic energy from wind and water

Correct answer: C

Rationale: In most ecosystems, the primary source of energy is sunlight. This energy is captured by plants and other photosynthetic organisms through the process of photosynthesis. These organisms convert light energy into chemical energy stored in the bonds of organic molecules, such as glucose. This stored chemical energy is then passed on to other organisms in the ecosystem through the food chain, making sunlight the fundamental source of energy for most ecosystems. Thermal energy from the Earth's core (option B) is not a primary source of energy for ecosystems, as it is not readily accessible to most organisms. Kinetic energy from wind and water (option D) can play a role in some ecosystems, but it is not the primary source of energy. Chemical energy stored in bonds (option A) is a form of energy that is ultimately derived from the sun through photosynthesis, making it a product of the primary energy source rather than the primary source itself.

5. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

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