Nursing Elites

1. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

2. In a neutral atom, the number of electrons is:

• A. Must be equal to the number of protons.
• B. Must be less than the number of protons.
• C. Must be greater than the number of neutrons.
• D. Can vary depending on the atom's temperature.

Correct answer: A

Rationale: In a neutral atom, the number of electrons must be equal to the number of protons to maintain electrical neutrality. Electrons carry a negative charge while protons carry a positive charge. By having an equal number of electrons and protons, the positive and negative charges balance each other out, resulting in an electrically neutral atom. Choice B is incorrect because in a neutral atom, the number of electrons and protons must be equal. Choice C is incorrect as it compares electrons to neutrons, which are not directly related in determining an atom's charge. Choice D is incorrect as the number of electrons in a neutral atom is not dependent on the atom's temperature but rather on the atom's balance of positive and negative charges.

3. How do vaccines primarily function within the body?

• A. Creating a physical barrier against pathogens
• B. Triggering an inflammatory response
• C. Developing immunological memory to a specific pathogen
• D. Activating phagocytes to engulf pathogens

Correct answer: C

Rationale: Vaccines primarily function by stimulating the immune system to develop immunological memory to a specific pathogen. When a vaccine is administered, it exposes the immune system to a harmless version of a pathogen or a piece of it. This exposure triggers the immune response, leading to the production of antibodies and memory cells specific to that pathogen. Choice A is incorrect because vaccines do not create a physical barrier; rather, they prepare the immune system to recognize and fight specific pathogens. Choice B is incorrect as vaccines do trigger an immune response, but the primary goal is to create memory rather than inflammation. Choice D is incorrect as vaccines do not directly activate phagocytes; instead, they stimulate the immune system to generate a targeted response against a particular pathogen.

4. Salts like sodium iodide (NaI) and potassium chloride (KCl) use what type of bond?

• A. Ionic bonds
• B. Disulfide bridges
• C. Covalent bonds
• D. London dispersion forces

Correct answer: A

Rationale: Salts like sodium iodide (NaI) and potassium chloride (KCl) use ionic bonds. Ionic bonds are formed between atoms with significantly different electronegativities, leading to the transfer of electrons from one atom to another. In the case of NaI and KCl, sodium (Na) and potassium (K) are metals that easily lose electrons to become positively charged ions, while iodide (I) and chloride (Cl) are nonmetals that readily accept electrons to become negatively charged ions. The attraction between the oppositely charged ions forms the ionic bond, which holds the compound together in a lattice structure. Disulfide bridges (option B) are covalent bonds formed between sulfur atoms in proteins, not in salts. Covalent bonds (option C) involve the sharing of electrons between atoms and are typically seen in molecules, not ionic compounds like salts. London dispersion forces (option D) are weak intermolecular forces that occur between all types of molecules but are not the primary type of bond in salts like NaI and KCl.

5. Which organelle is responsible for breaking down macromolecules, such as proteins, carbohydrates, and lipids, into their smaller building blocks?

• A. Golgi apparatus
• B. Mitochondria
• C. Lysosomes
• D. Endoplasmic reticulum

Correct answer: C

Rationale: Lysosomes are membrane-bound organelles containing digestive enzymes that break down macromolecules, such as proteins, carbohydrates, and lipids, into their smaller building blocks. These enzymes help in the process of intracellular digestion and recycling of cellular components. The Golgi apparatus is involved in processing and packaging proteins for secretion or for use within the cell. Mitochondria are responsible for producing energy in the form of ATP through cellular respiration. The endoplasmic reticulum is involved in protein synthesis and lipid metabolism. Therefore, the correct answer is 'C: Lysosomes' as they specifically function in the breakdown of macromolecules into smaller components, distinguishing them from the other organelles mentioned.

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