Nursing Elites

1. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

2. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

3. Which of the following colligative properties refers to the elevation of the boiling point of a solution?

• A. Freezing point depression
• B. Vapor pressure lowering
• C. Osmotic pressure
• D. Boiling point elevation

Correct answer: D

Rationale: The correct answer is D, 'Boiling point elevation.' Boiling point elevation is a colligative property that describes the increase in the boiling point of a solvent when a non-volatile solute is added to it. This occurs because the presence of solute particles in the solvent lowers the vapor pressure of the solution, requiring a higher temperature to reach the same vapor pressure as the pure solvent. Choices A, B, and C are incorrect. Freezing point depression refers to the lowering of the freezing point of a solution, vapor pressure lowering is the reduction in vapor pressure due to the presence of solute particles, and osmotic pressure is the pressure required to prevent the flow of solvent molecules across a semipermeable membrane in osmosis.

4. In a covalent bond, the shared electrons:

• A. Are completely transferred to one atom.
• B. Spend more time closer to the more electronegative atom.
• C. Remain equidistant between the two atoms.
• D. Do not influence the bond strength.

Correct answer: B

Rationale: In a covalent bond, the shared electrons spend more time closer to the more electronegative atom. Electronegativity is the ability of an atom to attract electrons in a chemical bond. The more electronegative atom exerts a stronger pull on the shared electrons, causing them to be closer to that atom. Choice A is incorrect because in a covalent bond, electrons are shared, not completely transferred. Choice C is incorrect as the shared electrons are not equidistant but are closer to one atom due to electronegativity differences. Choice D is incorrect because shared electrons play a significant role in determining the bond strength by the strength of the bond formed through electron sharing.

5. Which of the following is NOT one of the major types of bones in the human body?

• A. Dense bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The correct answer is A: 'Dense bone'. Dense bone is not a classification of bone types in the human body. The major types of bones include long, short, flat, and irregular bones. Long bones, like the femur, are characterized by being longer than they are wide. Short bones, such as those in the wrist (carpals) and ankle (tarsals), are generally cube-shaped. Flat bones, like the skull or scapula, are thin and provide protection. Irregular bones, such as the vertebrae, have complex shapes that do not fit into the other categories.

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