Nursing Elites

1. Which of the following best describes the function of the pericardium?

• A. Regulating blood flow through valves within the heart.
• B. Acting as a protective sac surrounding the heart.
• C. Generating the electrical impulses for heart contractions.
• D. Transmitting electrical signals between the atria and ventricles.

Correct answer: B

Rationale: The pericardium is a double-layered sac that surrounds and protects the heart. Its main functions include preventing overfilling of the heart, providing a physical barrier against infection and inflammation, and reducing friction between the heart and surrounding structures. Choices A, C, and D do not accurately describe the function of the pericardium. Option B is the correct answer as it aligns with the protective and supportive role of the pericardium, distinguishing it from the functions attributed to choices A, C, and D.

2. What is the difference between a homozygous recessive genotype and a homozygous dominant genotype?

• A. Both have the same phenotype, but different genotypes.
• B. Both have the same genotype, but different phenotypes.
• C. Homozygous recessive has two dominant alleles, while homozygous dominant has two recessive alleles.
• D. Homozygous recessive has two identical recessive alleles, while homozygous dominant has two identical dominant alleles.

Correct answer: D

Rationale: - Homozygous recessive genotype refers to an individual having two identical recessive alleles for a particular gene (e.g., rr for a trait where r represents the recessive allele). - Homozygous dominant genotype refers to an individual having two identical dominant alleles for a particular gene (e.g., RR for a trait where R represents the dominant allele). - The difference between the two genotypes lies in the specific alleles present in each case, with homozygous recessive having two recessive alleles and homozygous dominant having two dominant alleles. - This genetic difference results in different phenotypes being expressed, as the dominant allele typically masks the expression of the recessive allele in heterozygous individuals.

3. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

4. Elements tend to gain or lose electrons to achieve stable electron configurations like those of noble gases. Their group number often indicates the number of electrons gained/lost and the resulting ionic charge, providing a good starting point for prediction.

• A. Ionic bonds involve electron sharing, while metallic bonds involve electron transfer.
• B. Ionic bonds are weak and directional, while metallic bonds are strong and non-directional.
• C. Ionic bonds exist between metals and non-metals, while metallic bonds exist only between metals.
• D. Ionic bonds form discrete molecules, while metallic bonds form extended structures.

Correct answer: C

Rationale: Ionic bonds typically form between metals and non-metals, where one atom donates electrons (cation) and the other accepts electrons (anion). This results in the transfer of electrons. Metallic bonds, on the other hand, occur between metal atoms where electrons are shared among a sea of delocalized electrons, leading to the characteristic properties of metals like malleability and conductivity. Choice A is incorrect because ionic bonds involve electron transfer, not sharing. Choice B is incorrect as ionic bonds are strong, not weak, and are non-directional, while metallic bonds are strong and non-directional. Choice D is incorrect as ionic bonds do not form discrete molecules but rather a lattice structure, whereas metallic bonds form extended structures.

5. Which vitamin is synthesized in the skin upon exposure to sunlight?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is synthesized in the skin upon exposure to sunlight. When the skin is exposed to sunlight, a form of cholesterol in the skin is converted into vitamin D3 (cholecalciferol) through a series of chemical reactions. Vitamin D plays a crucial role in calcium absorption and bone health. Choice A, Vitamin A, is not synthesized in the skin upon exposure to sunlight; it is obtained through dietary sources. Choice B, Vitamin C, is not synthesized in the skin upon exposure to sunlight either. Vitamin C is obtained through dietary sources like fruits and vegetables. Choice D, Vitamin E, is not synthesized in the skin upon exposure to sunlight. Vitamin E is a fat-soluble vitamin that acts as an antioxidant and is obtained through dietary sources like nuts, seeds, and vegetable oils.

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