Nursing Elites

1. Which is the correct order of formed elements in blood from smallest to largest cell size?

• A. Erythrocytes, thrombocytes, and leukocytes
• B. Thrombocytes, leukocytes, and erythrocytes
• C. Thrombocytes, erythrocytes, and leukocytes
• D. Leukocytes, erythrocytes, and thrombocytes

Correct answer: C

Rationale: The correct order of formed elements in blood from smallest to largest cell size is thrombocytes (platelets), erythrocytes (red blood cells), and leukocytes (white blood cells), making choice C the correct answer. Thrombocytes are the smallest, followed by erythrocytes, and then leukocytes. Choices A, B, and D are incorrect because they do not follow the correct order of cell size in blood formed elements.

2. Which of the following distinguishes the isotopes of an element?

• A. Isotopes are atoms of the same element that have different ionic charges.
• B. Isotopes are atoms of elements within the same group on the periodic table.
• C. Isotopes are atoms of the same element that have different numbers of neutrons.
• D. Isotopes are atoms of the same element with different electron configurations.

Correct answer: C

Rationale: Isotopes are defined as atoms of the same element that have the same number of protons in their nucleus but different numbers of neutrons. This leads to variations in atomic mass for isotopes of an element. The different number of neutrons in isotopes results in differences in their atomic mass and properties while still belonging to the same element. Choice A is incorrect because isotopes do not have different ionic charges, they have the same chemical properties. Choice B is incorrect because isotopes are not atoms of elements within the same group on the periodic table; they are variants of the same element. Choice D is incorrect because isotopes of an element have the same electron configuration, differing only in the number of neutrons in the nucleus.

3. 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.

4. Which of the following best defines the term amphoteric?

• A. A substance that conducts electricity due to ionization when dissolved in a solvent
• B. A substance that can act as an acid or a base depending on the properties of the solute
• C. A substance that, according to the Brønsted-Lowry Acid-Base Theory, is a proton-donor
• D. A substance that donates its proton and forms its conjugate base in a neutralization reaction

Correct answer: B

Rationale: An amphoteric substance can act as both an acid or a base depending on the environment. It can donate a proton (act as an acid) or accept a proton (act as a base), showing versatility in its behavior. Choice A is incorrect as it describes an electrolyte rather than an amphoteric substance. Choice C is incorrect as it defines an acid based on the Brønsted-Lowry Acid-Base Theory. Choice D is incorrect as it specifically refers to a substance donating a proton in a neutralization reaction, not capturing the dual behavior of an amphoteric substance.

5. Which digestive enzyme is primarily responsible for breaking down proteins?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Maltase

Correct answer: A

Rationale: The correct answer is A, Pepsin. Pepsin is primarily responsible for breaking down proteins in the stomach. It is produced in an inactive form called pepsinogen, which becomes activated by the acidic environment in the stomach. Pepsin functions by breaking down proteins into smaller peptides, which are further digested by other enzymes in the small intestine. Lipase is responsible for breaking down fats, amylase for carbohydrates, and maltase for converting maltose into glucose. Therefore, choices B, C, and D are incorrect as they are associated with breaking down fats, carbohydrates, and converting maltose, respectively, not proteins.

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