Nursing Elites

1. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

2. How do organisms maintain homeostasis?

• A. By increasing their body temperature, blood pH, and fluid balance.
• B. By undergoing biochemical processes and absorbing energy to increase entropy.
• C. By undergoing biochemical processes to maintain the order of their external environment.
• D. By using free energy and matter via biochemical processes to work against entropy.

Correct answer: D

Rationale: Organisms maintain homeostasis by utilizing free energy and matter through biochemical processes to counteract entropy, which helps in preserving internal stability. This process involves maintaining a balance within the organism's internal environment despite external changes, ensuring proper functioning and survival. Choice A is incorrect because increasing body temperature, blood pH, and fluid balance alone do not define the comprehensive process of maintaining homeostasis. Choice B is incorrect as absorbing energy to increase entropy goes against the concept of maintaining internal stability. Choice C is incorrect as maintaining the order of the external environment does not directly contribute to the organism's internal stability and balance.

3. What is the primary difference between ionic and metallic bonding?

• A. Ionic bonds involve electron transfer, while metallic bonds involve electron sharing.
• 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: B

Rationale: Ionic bonds involve electron transfer, where one atom completely donates an electron to another, resulting in discrete molecules. On the other hand, metallic bonds are non-directional and strong, formed by a 'sea' of delocalized electrons shared among all metal atoms. This shared electron cloud allows for strong bonding throughout the entire material, making metallic bonds non-directional and strong compared to the directional and weaker nature of ionic bonds. Choice A is incorrect because metallic bonds do not involve electron sharing but rather the sharing of a sea of delocalized electrons. Choice C is incorrect as metallic bonds can also exist between metal atoms, not just between metals and non-metals. Choice D is incorrect because metallic bonds do not form discrete molecules but rather extended structures due to the sharing of electrons among all metal atoms.

4. Which of the following systems does not include a transportation network throughout the body?

• A. Cardiovascular system
• B. Endocrine system
• C. Immune system
• D. Nervous system

Correct answer: B

Rationale: The endocrine system does not include a transportation network throughout the body. While the cardiovascular system transports blood, oxygen, and nutrients, the immune system has lymphatic vessels for immune cell transportation, and the nervous system transmits signals via neurons. In contrast, the endocrine system coordinates bodily functions by releasing hormones directly into the bloodstream, which then act on target organs or tissues. This delivery mechanism is different from the continuous transportation networks found in the other systems listed, making the endocrine system the correct choice for this question.

5. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

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