Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

2. 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.

3. What is the name for the hard, protective protein that makes up hair and nails?

• A. Collagen
• B. Keratin
• C. Elastin
• D. Fibrin

Correct answer: B

Rationale: Keratin is the correct answer as it is the hard, protective protein that comprises hair and nails. Collagen is a different type of protein found in connective tissues, providing structure and support. Elastin imparts elasticity to tissues, allowing them to stretch and recoil. Fibrin is a protein involved in the blood clotting process and is not related to the structure of hair and nails. Therefore, choices A, C, and D are incorrect in the context of the question.

4. Which structure allows for the selective passage of materials into and out of the cell?

• A. DNA
• B. Protein
• C. Carbohydrate
• D. Phospholipid bilayer

Correct answer: D

Rationale: The phospholipid bilayer is a crucial component of the cell membrane, surrounding the cell and regulating the passage of materials into and out of the cell. Its structure enables it to be selectively permeable, controlling which substances can pass through. DNA, proteins, and carbohydrates are essential molecules in the cell but do not directly govern the passage of materials like the phospholipid bilayer does. Therefore, the correct answer is the phospholipid bilayer.

5. How will mildly elevated levels of thyroxine affect the heart rate?

• A. Stop the heart rate
• B. No effect
• C. Decrease the heart rate
• D. Increase the heart rate

Correct answer: D

Rationale: Mildly elevated levels of thyroxine will increase the heart rate. Thyroxine, a hormone produced by the thyroid gland, regulates metabolism. Elevated thyroxine levels can lead to increased metabolism, resulting in an elevated heart rate. Choice A is incorrect as mildly elevated thyroxine levels do not stop the heart rate. Choice B is incorrect because elevated thyroxine levels do have an effect on heart rate. Choice C is incorrect as elevated thyroxine levels typically lead to an increase rather than a decrease in heart rate.

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