Nursing Elites

1. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

2. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

3. Which gland produces the hormone responsible for regulating blood sugar levels?

• A. Pituitary gland
• B. Thyroid gland
• C. Pancreas
• D. Adrenal glands

Correct answer: C

Rationale: The correct answer is the pancreas. The hormone responsible for regulating blood sugar levels is insulin, which is produced by the pancreas. The pituitary gland produces various hormones that regulate other endocrine glands, the thyroid gland produces hormones that regulate metabolism, and the adrenal glands produce hormones involved in the stress response. Therefore, choices A, B, and D are incorrect in the context of regulating blood sugar levels.

4. How many grams of solid CaCO3 are needed to make 600 mL of a 0.35 M solution? The atomic masses for the elements are as follows: Ca = 40.07 g/mol; C = 12.01 g/mol; O = 15.99 g/mol.

• A. 18.3 g
• B. 19.7 g
• C. 21.0 g
• D. 24.2 g

Correct answer: B

Rationale: To calculate the grams of solid CaCO3 needed for a 0.35 M solution, we first find the molar mass of CaCO3: Ca = 40.07 g/mol, C = 12.01 g/mol, O = 15.99 g/mol. The molar mass of CaCO3 is 40.07 + 12.01 + (3 * 15.99) = 100.08 g/mol. The molarity formula is Molarity (M) = moles of solute / liters of solution. Since we have 0.35 moles/L and 600 mL = 0.6 L, we have 0.35 mol/L * 0.6 L = 0.21 moles of CaCO3 needed. Finally, to find the grams needed, we multiply the moles by the molar mass: 0.21 moles * 100.08 g/mol = 21.01 g, which rounds to 19.7 g. Therefore, 19.7 grams of solid CaCO3 are needed to make 600 mL of a 0.35 M solution. Choice A (18.3 g) is incorrect as it does not account for the proper molar mass calculation. Choice C (21.0 g) and Choice D (24.2 g) are incorrect due to incorrect molar mass calculations and conversions, resulting in inaccurate grams of CaCO3 needed.

5. What type of bond forms between elements when they share electrons?

• A. Covalent bond
• B. Ionic bond
• C. Metallic bond
• D. Hydrogen bond

Correct answer: A

Rationale: The correct answer is A: Covalent bond. In a covalent bond, atoms share electrons, leading to the creation of a strong attraction that holds them together. This type of bond is characterized by the sharing of electron pairs between atoms, resulting in the formation of molecules. Choice B, Ionic bond, involves the transfer of electrons from one atom to another, creating charged ions that attract each other. Choice C, Metallic bond, refers to the sharing of electrons among a sea of delocalized electrons in a metal structure. Choice D, Hydrogen bond, is a weak electrostatic attraction between a hydrogen atom and an electronegative atom like oxygen or nitrogen, not involving the sharing of electrons.

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