Nursing Elites

1. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

2. When baking soda (sodium bicarbonate) reacts with vinegar (acetic acid), what type of reaction occurs?

• A. Combustion
• B. Double displacement
• C. Decomposition
• D. Synthesis

Correct answer: B

Rationale: When baking soda (sodium bicarbonate) reacts with vinegar (acetic acid), a double displacement reaction occurs. In this reaction, the positive ions in baking soda switch places with the positive ions in vinegar to form water, carbon dioxide, and a salt. Combustion involves a reaction with oxygen to produce heat and light energy. Decomposition is the breakdown of a compound into simpler substances, which is not the case in the given reaction. Synthesis is the combination of substances to form a more complex compound, which is also not the type of reaction observed when baking soda and vinegar react.

3. Which of the following hormones regulates calcium levels in the blood?

• A. Insulin
• B. Parathyroid hormone
• C. Thyroid hormone
• D. Glucagon

Correct answer: B

Rationale: The correct answer is B, Parathyroid hormone. Parathyroid hormone plays a crucial role in regulating calcium levels in the blood by increasing calcium levels when they are too low. This hormone acts on the bones, kidneys, and intestines to ensure proper calcium balance in the body. Insulin (choice A) is involved in glucose metabolism, not calcium regulation. Thyroid hormone (choice C) primarily regulates metabolism, and while it indirectly influences calcium levels, it is not the primary regulator. Glucagon (choice D) is involved in increasing blood glucose levels, not calcium regulation.

4. DNA has both a 'sense' and 'antisense' strand. What is true about the antisense strand?

• A. It runs 5' to 3'.
• B. It runs 3' to 5'.
• C. It is used in replication.
• D. It is the direction in which DNA is stored.

Correct answer: B

Rationale: The correct answer is B. The antisense strand runs 3' to 5', which is opposite to the direction of the sense strand. It serves as the template strand for transcription, where an RNA molecule is synthesized complementary to the antisense strand. Choice A is incorrect because the antisense strand runs in the opposite direction. Choice C is incorrect as the antisense strand is primarily involved in transcription, not replication. Choice D is incorrect as the direction of DNA storage is not determined by the antisense strand.

5. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

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