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. What is the primary function of the pyloric sphincter?

• A. to regulate the movement of food material from the stomach to the duodenum
• B. to neutralize stomach acid
• C. to prevent digested food materials and stomach acid from entering the esophagus
• D. to begin the process of chemical digestion

Correct answer: A

Rationale: The primary function of the pyloric sphincter is to regulate the flow of partially digested food material (chyme) from the stomach into the small intestine, specifically the duodenum. This control is essential for proper digestion and absorption of nutrients in the small intestine. Choices B, C, and D are incorrect. Choice B is incorrect because neutralizing stomach acid is primarily the function of the stomach lining and antacid mechanisms. Choice C is incorrect because preventing the backflow of digested food materials and stomach acid into the esophagus is mainly the role of the lower esophageal sphincter. Choice D is incorrect because the chemical digestion process primarily starts in the stomach through the action of gastric juices, not the pyloric sphincter.

3. How can the periodic table be used to predict the charge of an ion formed by an element?

• A. Look for elements with similar atomic weights.
• B. Identify the group number, which corresponds to the typical ionic charge.
• C. Calculate the difference between protons and electrons.
• D. Analyze the element's position within the period.

Correct answer: B

Rationale: The group number of an element on the periodic table corresponds to the number of valence electrons it has. Elements in the same group tend to form ions with the same charge. For example, elements in Group 1 typically form ions with a +1 charge, while elements in Group 17 typically form ions with a -1 charge. Therefore, by identifying the group number of an element, one can predict the typical ionic charge it will form. Choices A, C, and D are incorrect because predicting the charge of an ion is mainly based on the element's position in the periodic table, particularly the group number, which indicates the number of valence electrons and the typical ionic charge it may form.

4. Which of the following is an example of a salt?

• A. Sodium hydroxide (NaOH)
• B. Hydrochloric acid (HCl)
• C. Sodium chloride (NaCl)
• D. Sulfuric acid (H₂SO₄)

Correct answer: C

Rationale: Sodium chloride (NaCl) is an example of a salt. Salts are ionic compounds formed by the reaction of an acid with a base. In this case, sodium chloride is formed by the reaction of sodium hydroxide (a base) with hydrochloric acid (an acid). Sodium hydroxide (NaOH), hydrochloric acid (HCl), and sulfuric acid (H₂SO₄) are not salts because they are not formed by the neutralization reaction of an acid and a base, which is a characteristic of salts.

5. Which of the following is a common property of bases?

• A. Conductivity in aqueous solutions
• B. Sour taste
• C. Reactivity with metals to produce hydrogen gas
• D. Turns red litmus paper blue

Correct answer: D

Rationale: Bases are substances that can accept protons or donate hydroxide ions in a chemical reaction. One common property of bases is that they turn red litmus paper blue. This is a classic test to distinguish between acids (which turn blue litmus paper red) and bases. Conductivity in aqueous solutions (Option A) is a property of both acids and bases, but not unique to bases alone. Sour taste (Option B) is a property commonly associated with acids, not bases. Reactivity with metals to produce hydrogen gas (Option C) is a property of acids, particularly strong acids, but not bases.

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