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. Which of the following is responsible for the body's fight-or-flight response?

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

Correct answer: B

Rationale: The correct answer is B: Adrenal glands. The adrenal glands are responsible for the body's fight-or-flight response. During stressful situations, the adrenal glands release hormones like adrenaline and noradrenaline, initiating the fight-or-flight response. These hormones prepare the body to either confront or flee from a perceived threat.\nChoice A - Pancreas: The pancreas is primarily responsible for producing insulin and regulating blood sugar levels, not the fight-or-flight response.\nChoice C - Thyroid gland: The thyroid gland is responsible for producing hormones that regulate metabolism, not directly involved in the fight-or-flight response.\nChoice D - Pituitary gland: The pituitary gland regulates various endocrine functions by releasing hormones, but it is not the primary gland responsible for the fight-or-flight response.

3. Which part of the nervous system is responsible for the “fight-or-flight” response?

• A. Somatic nervous system
• B. Parasympathetic nervous system
• C. Sympathetic nervous system
• D. Enteric nervous system

Correct answer: C

Rationale: The sympathetic nervous system is responsible for the 'fight-or-flight' response, triggering the body's automatic response to a perceived threat or danger. This system initiates physiological changes like increased heart rate, dilated pupils, and the release of adrenaline, preparing the body to confront or escape the threat. The somatic nervous system (Choice A) controls voluntary movements, the parasympathetic nervous system (Choice B) is responsible for the 'rest and digest' response to promote relaxation and digestion, and the enteric nervous system (Choice D) regulates the gastrointestinal system. Therefore, they are not associated with the 'fight-or-flight' response.

4. Which of the following is an example of a nosocomial infection?

• A. The common cold contracted from a family member
• B. A urinary tract infection (UTI) acquired during a catheterization
• C. A fungal skin infection from contaminated soil
• D. Food poisoning from undercooked chicken

Correct answer: B

Rationale: A nosocomial infection, also known as a healthcare-associated infection (HAI), is an infection that is acquired in a healthcare setting. In this case, a UTI acquired during a catheterization procedure is a classic example of a nosocomial infection. Catheterization involves the insertion of a tube into the urinary tract, which can introduce bacteria into the urinary system and lead to an infection. Nosocomial infections are a significant concern in healthcare settings due to the potential for increased morbidity, mortality, and healthcare costs. Let's review the other options: A) The common cold contracted from a family member - This is not a nosocomial infection as it is acquired outside of a healthcare setting. C) A fungal skin infection from contaminated soil - This is not a nosocomial infection as it is acquired from environmental exposure, not in a healthcare setting.

5. What type of vessel carries oxygen-rich blood from the heart to other tissues of the body?

• A. Veins
• B. Intestines
• C. Bronchioles
• D. Arteries

Correct answer: D

Rationale: The correct answer is D: Arteries. Arteries are blood vessels that carry oxygen-rich blood away from the heart to supply oxygen to the tissues and organs throughout the body. Veins, choice A, carry oxygen-poor blood back to the heart, not oxygen-rich blood. Intestines, choice B, are part of the digestive system and do not play a role in carrying blood. Bronchioles, choice C, are small air passages in the lungs responsible for carrying air, not blood.

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