Nursing Elites

1. Which type of isomerism arises due to differences in the arrangement of atoms around a double bond?

• A. Chain isomerism
• B. Functional group isomerism
• C. Cis-trans isomerism
• D. Stereoisomerism

Correct answer: C

Rationale: Cis-trans isomerism, also known as geometric isomerism, arises due to differences in the arrangement of atoms around a double bond. In cis isomers, similar groups are on the same side of the double bond, while in trans isomers, similar groups are on opposite sides of the double bond. This type of isomerism is a subset of stereoisomerism, which includes all isomers that have the same connectivity but differ in spatial arrangement. Chain isomerism involves differences in the carbon chain arrangement, functional group isomerism involves different functional groups, and stereoisomerism is a broader category that encompasses isomers with the same connectivity but different spatial arrangement.

2. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

3. Which of the following is the primary physical barrier the body uses to prevent infection?

• A. mucus membranes
• B. stomach acid
• C. skin
• D. urine

Correct answer: C

Rationale: The correct answer is 'C: skin.' The skin is the primary physical barrier the body uses to prevent infection. It acts as a protective shield that prevents harmful microorganisms from entering the body. The outer layer of the skin, known as the epidermis, acts as a tough physical barrier that blocks the entry of pathogens. Additionally, the skin has special immune cells that can help fight off invaders that manage to breach the physical barrier. Choices A, B, and D are incorrect. While mucous membranes, stomach acid, and urine play important roles in the body's defense against pathogens, the primary physical barrier is the skin, which covers the entire body and provides a robust protective barrier.

4. Which of the following statements is NOT true of most metals?

• A. Most of them are good conductors of heat.
• B. Most of them are gases at room temperature.
• C. Most of them are ductile.
• D. They make up the majority of elements on the periodic table.

Correct answer: B

Rationale: The correct answer is B because most metals are not gases at room temperature; they are usually solid and good conductors of heat. Metals are generally known for being good conductors of heat, ductile, and making up the majority of elements on the periodic table. Choice A is correct as metals, in general, are good conductors of heat. Choice C is also correct as most metals exhibit ductility. Choice D is correct as metals constitute the majority of elements found on the periodic table.

5. Which structure in the lungs is the site of gas exchange?

• A. Trachea
• B. Alveoli
• C. Bronchioles
• D. Diaphragm

Correct answer: B

Rationale: The correct answer is B: Alveoli. Alveoli are tiny air sacs in the lungs where gas exchange occurs. Oxygen from inhaled air diffuses into the bloodstream, while carbon dioxide from the blood is released into the alveoli to be exhaled. The trachea (Choice A) is the windpipe that carries air to and from the lungs, but it is not involved in gas exchange. Bronchioles (Choice C) are small air passages within the lungs that branch off from the bronchi, leading air to the alveoli but not directly involved in gas exchange. The diaphragm (Choice D) is a muscle below the lungs that helps in breathing by expanding and contracting the chest cavity, but it is not the site of gas exchange.

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