Nursing Elites

1. What is the main function of estuaries?

• A. Filtering pollutants from water
• B. Providing habitat for marine life
• C. Storing carbon dioxide
• D. Generating wind power

Correct answer: B

Rationale: Estuaries are coastal areas where freshwater from rivers and streams mixes with saltwater from the ocean. They serve as important habitats for a variety of marine life, including fish, birds, and other wildlife. Estuaries provide shelter, breeding grounds, and food sources for many species, making them crucial for the overall health of marine ecosystems. While estuaries can help filter pollutants to some extent, their primary function is to support and sustain diverse populations of plants and animals. Storing carbon dioxide and generating wind power are not main functions of estuaries.

2. What is the correct way to represent 8,600,000,000,000 in scientific notation with two significant figures?

• A. 8.6 x 10^12
• B. 8.6 x 10^-12
• C. 8.6 x 10^11
• D. 8.60 x 10^12

Correct answer: A

Rationale: The correct way to represent 8,600,000,000,000 in scientific notation with two significant figures is 8.6 x 10^12. Scientific notation involves expressing a number as a decimal (with one non-zero digit before the decimal point) multiplied by a power of 10. In this case, 8,600,000,000,000 is correctly written as 8.6 x 10^12 to maintain two significant figures and the appropriate magnitude. Choice B (8.6 x 10^-12) is incorrect as it represents a very small number due to the negative exponent. Choice C (8.6 x 10^11) is incorrect as it does not account for the magnitude of the original number. Choice D (8.60 x 10^12) is incorrect because it unnecessarily adds a zero after the decimal point, which is not warranted by the original number's precision.

3. Diabetes mellitus is a chronic condition affecting blood sugar control. What is the main type of hormone deficiency associated with type 1 diabetes?

• A. Insulin
• B. Glucagon
• C. Estrogen
• D. Testosterone

Correct answer: A

Rationale: The correct answer is A: Insulin. Type 1 diabetes is characterized by the body's inability to produce insulin, the hormone responsible for regulating blood sugar levels. Insulin deficiency in type 1 diabetes leads to high blood sugar levels as the body cannot effectively utilize glucose for energy. Glucagon (Choice B) is a hormone that works opposite to insulin, raising blood sugar levels. Estrogen (Choice C) and testosterone (Choice D) are not directly involved in blood sugar control or the pathophysiology of type 1 diabetes.

4. 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.

5. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

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