Nursing Elites

1. What property of a substance remains constant regardless of changes in its shape or size?

• A. Mass
• B. Weight
• C. Density
• D. Volume

Correct answer: A

Rationale: Mass is a measure of the amount of matter in an object and remains constant regardless of changes in its shape or size. Weight, density, and volume can all change depending on the conditions, but mass remains the same. For example, if you have a piece of clay and you shape it into a ball or flatten it into a pancake, the amount of clay (mass) will remain the same, even though the shape and size have changed. Weight is the force acting on an object due to gravity, which can vary depending on the gravitational pull. Density is the mass per unit volume, so it changes with variations in volume. Volume is the amount of space occupied by an object, which can change if the shape or size of the object is altered.

2. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

3. What is an isotope? For any given element, it is an atom with which of the following?

• A. a different atomic number
• B. a different number of protons
• C. a different number of electrons
• D. a different mass number

Correct answer: D

Rationale: An isotope of an element is an atom with a different number of neutrons, resulting in a different mass number. Isotopes of the same element have the same number of protons (which determines the element's identity) but differ in the number of neutrons, leading to variations in mass numbers. Choice A is incorrect because isotopes of the same element have the same atomic number. Choice B is incorrect because isotopes of the same element have the same number of protons. Choice C is incorrect because isotopes of the same element have the same number of electrons.

4. Which statement most accurately compares and contrasts the structures of DNA and RNA?

• A. Both DNA and RNA have 4 nucleotide bases. Three of the bases are the same, but the fourth base is thymine in DNA and uracil in RNA.
• B. Both DNA and RNA have the same 4 nucleotide bases. However, the nucleotides bond differently in DNA compared to RNA.
• C. Both DNA and RNA have different numbers of nucleotide bases. DNA is a double helix while RNA is a single strand.
• D. Both DNA and RNA have a double helix structure. However, DNA contains 6 nucleotide bases and RNA contains 4 nucleotide bases.

Correct answer: A

Rationale: The correct answer is A because DNA and RNA both consist of 4 nucleotide bases, namely adenine, cytosine, and guanine, which are common in both. The key difference lies in the fourth base, which is thymine in DNA and uracil in RNA. This distinction is fundamental in understanding the structural variances between DNA and RNA. Choice B is incorrect as it incorrectly states that the nucleotides bond differently in DNA compared to RNA without specifying the crucial base differences. Choice C is inaccurate as it misrepresents the numbers of nucleotide bases in DNA and RNA, and incorrectly describes DNA as a double helix and RNA as a single strand, which is not related to the difference in bases. Choice D is incorrect as it inaccurately portrays DNA with 6 nucleotide bases and RNA with 4, which is not true; both DNA and RNA have 4 nucleotide bases, but with differences in one of the bases.

5. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

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