Nursing Elites

1. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

2. The Gram stain is a differential staining technique used to classify bacteria based on their cell wall composition. Gram-positive bacteria appear

• A. Pink
• B. Blue
• C. Red
• D. Purple

Correct answer: D

Rationale: The Gram stain is a differential staining technique that categorizes bacteria into two groups based on their cell wall composition: Gram-positive and Gram-negative. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet stain used in the Gram staining procedure. Consequently, Gram-positive bacteria appear purple under the microscope after staining. On the other hand, Gram-negative bacteria possess a thinner peptidoglycan layer and an outer membrane that can be penetrated by the counterstain safranin, leading them to appear pink or red. Blue is not typically used to describe the color of bacteria in a Gram stain, making it an incorrect choice.

3. Which hormone is responsible for regulating sleep-wake cycles and is influenced by light exposure?

• A. Melatonin
• B. Cortisol
• C. Estrogen
• D. Glucagon

Correct answer: A

Rationale: The correct answer is A: Melatonin. Melatonin is the hormone responsible for regulating sleep-wake cycles, also known as the circadian rhythm. Its production is influenced by light exposure, with levels increasing in the evening in response to darkness, signaling the body that it is time to sleep. Choice B, cortisol, is a stress hormone and does not directly regulate sleep-wake cycles. Choice C, estrogen, is a sex hormone and is not primarily involved in regulating sleep. Choice D, glucagon, is a hormone that increases blood glucose levels and is not related to sleep-wake cycles.

4. Which of the following organs functions as both an endocrine and exocrine gland?

• A. The kidney
• B. The spleen
• C. The pancreas
• D. The stomach

Correct answer: C

Rationale: The pancreas is the correct answer as it functions as both an endocrine and exocrine gland. The endocrine function involves secreting insulin and glucagon into the bloodstream to regulate blood sugar levels, while the exocrine function involves releasing digestive enzymes into the small intestine to aid in digestion. The kidney (Choice A) primarily functions in the excretory system by filtering blood and producing urine. The spleen (Choice B) is involved in the immune system and blood storage but does not have endocrine or exocrine functions. The stomach (Choice D) is mainly an organ of the digestive system, secreting gastric juices to aid in digestion, but it does not have a dual endocrine and exocrine function like the pancreas.

5. Which of the following describes how atomic radius varies across the periodic table?

• A. Atomic radius increases from top to bottom and left to right on the periodic table.
• B. Atomic radius increases from top to bottom and right to left on the periodic table.
• C. Atomic radius increases from top to bottom and toward the halogens on the periodic table.
• D. Atomic radius increases from top to bottom and toward the noble gases on the periodic table.

Correct answer: A

Rationale: Atomic radius tends to increase from top to bottom and left to right on the periodic table. This is because as you move down a group (top to bottom), new energy levels are added, increasing the distance of the outer electrons from the nucleus and thus increasing the size of the atom. On the other hand, as you move from left to right across a period, the number of protons and electrons increases, leading to a stronger nuclear charge that attracts the electrons closer to the nucleus, resulting in smaller atomic radii. Choice B is incorrect as atomic radius does not increase from right to left. Choices C and D are incorrect as they incorrectly associate the trend with specific groups of elements (halogens and noble gases) rather than the general trend observed on the periodic table.

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