Nursing Elites

1. 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.

2. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

3. What is the largest lymphatic vessel in the body responsible for draining lymph from most of the body called?

• A. Jugular vein
• B. Thoracic duct
• C. Subclavian vein
• D. Aorta

Correct answer: B

Rationale: The correct answer is B: Thoracic duct. The thoracic duct is the largest lymphatic vessel in the body and is responsible for draining lymph from most of the body. The jugular vein, subclavian vein, and aorta are not lymphatic vessels responsible for draining lymph. The jugular vein and subclavian vein are blood vessels, while the aorta is the main artery that carries oxygenated blood from the heart. Understanding the role and anatomy of the lymphatic system is crucial for comprehending the body's immune response and fluid balance.

4. What is the relationship between work and energy?

• A. Work is the rate of energy transfer
• B. Work and energy are the same concepts
• C. Work is the result of energy
• D. Work changes an object's energy from one form to another

Correct answer: A

Rationale: Work is defined as the transfer of energy from one system to another. It is the rate at which energy is transferred or converted. Therefore, work is the rate of energy transfer, making option A the correct choice. Work involves the transfer or conversion of energy, but it is not the same as energy itself, nor is it the result of energy. Additionally, work does not change an object's energy from one form to another; instead, it involves the transfer of energy.

5. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

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