Nursing Elites

1. What is the balanced chemical equation for the reaction between sulfuric acid (H2SO4) and potassium hydroxide (KOH)?

• A. H2SO4 + KOH → K2SO4 + H2O
• B. 2H2SO4 + 2KOH → 2K2SO4 + 2H2O
• C. H2SO4 + 2KOH → K2SO4 + 2H2O
• D. H2SO4 + 2KOH → K2SO4 + H2O

Correct answer: C

Rationale: When sulfuric acid (H2SO4) reacts with potassium hydroxide (KOH), it forms potassium sulfate (K2SO4) and water (H2O). To balance the equation, 2 KOH molecules are required to react with 1 H2SO4 molecule, resulting in 1 K2SO4 molecule and 2 H2O molecules. Therefore, the balanced chemical equation is H2SO4 + 2KOH → K2SO4 + 2H2O, which corresponds to option C. Choice A is incorrect because it does not account for the correct stoichiometry between the reactants and products. Choice B incorrectly doubles all the molecules in the reaction, leading to an unbalanced equation. Choice D incorrectly balances the equation with 1 KOH molecule instead of the required 2 KOH molecules, making it unbalanced. Thus, option C is the correct balanced chemical equation for the reaction between sulfuric acid and potassium hydroxide.

2. Which of the following statements regarding the working of the heart is not correct?

• A. The atria contract, and the valves open to allow blood into the ventricles.
• B. The heartbeat begins when the heart muscles relax, and blood flows into the atria.
• C. The valves close to stop blood from flowing backward.
• D. The ventricles contract, forcing blood to leave the heart.

Correct answer: B

Rationale: The correct answer is B because the heartbeat actually begins when the heart muscles relax, allowing the chambers to fill with blood. The contraction phase follows, which propels blood out of the heart. The other statements are accurate in describing the normal sequence of events in the heart's functioning: the atria contract to push blood into the ventricles, the valves close to prevent backflow of blood, and the ventricles contract to pump blood out of the heart.

3. What is a gene, and what is the relationship between genes, genotype, and phenotype?

• A. A gene is a sequence of amino acids; genes make up proteins; genotype determines phenotype
• B. A gene is a portion of DNA; genes determine traits; genotype is the genetic makeup; phenotype is the physical manifestation
• C. A gene is a protein; proteins determine traits; genotype is the set of all genes
• D. A gene is a lipid; lipids determine traits; phenotype is the physical manifestation

Correct answer: B

Rationale: A gene is a portion of DNA that contains the instructions for a specific trait. Genotype refers to the genetic makeup of an organism, encompassing all its genes. Phenotype, on the other hand, is the observable physical manifestation resulting from the interaction between an organism's genotype and environmental factors. Choice A is incorrect because genes do not consist of amino acids directly; they are sequences of nucleotides. Choice C is incorrect as genes do not determine traits directly but provide the instructions for proteins that may influence traits. Choice D is incorrect as genes are not lipids, and lipids do not determine traits; they are a type of biomolecule with different functions.

4. The neutral theory of molecular evolution proposes that:

• A. Most mutations in DNA are selectively neutral and do not affect an organism's fitness.
• B. All mutations are beneficial and contribute to the adaptation of a population.
• C. The rate of evolution is primarily driven by strong directional selection pressures.
• D. Genetic drift plays a negligible role in shaping genetic variation within populations.

Correct answer: A

Rationale: Rationale: A) The neutral theory of molecular evolution, proposed by Motoo Kimura in the 1960s, suggests that the majority of mutations that occur in DNA are selectively neutral, meaning they do not have a significant impact on an organism's fitness. These neutral mutations are not subject to natural selection and are allowed to accumulate in populations over time. This theory helps explain the high levels of genetic variation observed within populations. B) Option B is incorrect because not all mutations are beneficial. Mutations can be neutral, harmful, or beneficial, and the neutral theory specifically focuses on the idea that many mutations are neutral in their effects. C) Option C is incorrect because the neutral theory suggests that evolution is not primarily driven by strong directional selection pressures. Instead, it emphasizes the role of genetic drift and the accumulation of neutral mutations in shaping genetic variation. D) Option D is incorrect because

5. 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.

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