Nursing Elites

1. What is the primary difference between ionic and metallic bonding?

• A. Ionic bonds involve electron transfer, while metallic bonds involve electron sharing.
• 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: B

Rationale: Ionic bonds involve electron transfer, where one atom completely donates an electron to another, resulting in discrete molecules. On the other hand, metallic bonds are non-directional and strong, formed by a 'sea' of delocalized electrons shared among all metal atoms. This shared electron cloud allows for strong bonding throughout the entire material, making metallic bonds non-directional and strong compared to the directional and weaker nature of ionic bonds. Choice A is incorrect because metallic bonds do not involve electron sharing but rather the sharing of a sea of delocalized electrons. Choice C is incorrect as metallic bonds can also exist between metal atoms, not just between metals and non-metals. Choice D is incorrect because metallic bonds do not form discrete molecules but rather extended structures due to the sharing of electrons among all metal atoms.

2. What is the valve that prevents blood from flowing back from the left ventricle into the left atrium?

• A. Tricuspid valve
• B. Mitral valve
• C. Aortic valve
• D. Pulmonic valve

Correct answer: B

Rationale: The correct answer is the Mitral valve. The mitral valve is located between the left atrium and the left ventricle of the heart. Its function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. Choice A, the Tricuspid valve, is incorrect as it is located between the right atrium and right ventricle. Choice C, the Aortic valve, and Choice D, the Pulmonic valve, are also incorrect as they are involved in the circulation of blood leaving the heart rather than preventing backflow within the atria and ventricles.

3. When animals eat, insulin is released from the pancreas, stimulating glucose uptake by the liver. When glucose levels drop, the pancreas reduces insulin release. This is an example of which mechanism for maintaining homeostasis?

• A. Negative feedback.
• B. Positive feedback.
• C. Stress response.
• D. Parasympathetic regulation.

Correct answer: A

Rationale: This mechanism is an example of negative feedback. Negative feedback systems work to counteract changes in the body and maintain a stable internal environment (homeostasis). In this case, the release of insulin in response to high glucose levels is followed by a reduction in insulin release when glucose levels drop. This response helps regulate glucose levels and return them to a normal range, demonstrating the characteristic of negative feedback where the body's response opposes the initial stimulus to maintain equilibrium. Positive feedback would amplify the initial change rather than counteract it, so it is not the correct choice. Stress response and parasympathetic regulation are not directly involved in this glucose regulation process, making them incorrect choices.

4. The 'fight-or-flight' response is triggered by the hormone released from the:

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

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

5. What is the small repeating unit in the contractile apparatus of skeletal muscle?

• A. Myofibril
• B. Actin
• C. Sarcomere
• D. Myosin

Correct answer: C

Rationale: The correct answer is 'Sarcomere.' The sarcomere is the smallest repeating unit within myofibrils and is responsible for muscle contraction in skeletal muscle. It consists of overlapping actin and myosin filaments arranged in a highly organized structure that allows for the sliding of filaments during muscle contraction. 'Myofibril' (choice A) is incorrect because it is a larger structure composed of sarcomeres. 'Actin' (choice B) and 'Myosin' (choice D) are incorrect as they are individual proteins that are components of the sarcomere, not the smallest repeating unit itself.

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