Nursing Elites

1. What is the term for the small air sacs in the lungs where gas exchange (oxygen and carbon dioxide) takes place?

• A. Bronchi
• B. Alveoli
• C. Trachea
• D. Bronchioles

Correct answer: B

Rationale: The correct answer is B: Alveoli. The alveoli are the small air sacs in the lungs where gas exchange occurs. Oxygen from the air we breathe passes into the bloodstream through the alveoli, while carbon dioxide from the bloodstream passes out of the body through the alveoli. Choice A, Bronchi, are the main airways in the lungs and not the site of gas exchange. Choice C, Trachea, refers to the windpipe, which is a different structure than the alveoli. Choice D, Bronchioles, are smaller airways branching off from the bronchi and are not where gas exchange primarily occurs.

2. Which condition can lead to blood clots and stroke?

• A. Aneurysm
• B. Arrhythmia
• C. Asthma
• D. Hypertension

Correct answer: D

Rationale: Hypertension is the correct answer. Hypertension can cause damage to blood vessels, increasing the risk of blood clots forming, which can potentially lead to a stroke. Aneurysm is a localized, abnormal dilation of a blood vessel that can lead to complications but does not directly cause blood clots and strokes. Arrhythmia refers to irregular heart rhythms and is not directly linked to the formation of blood clots. Asthma is a chronic respiratory condition and does not typically lead to blood clots and strokes.

3. Diabetic nephropathy, a complication of diabetes, affects the:

• A. Ureters
• B. Bladder
• C. Urethra
• D. Nephrons

Correct answer: D

Rationale: Diabetic nephropathy, a complication of diabetes, affects the nephrons. Nephrons are the functional units of the kidneys responsible for filtering blood and producing urine. The high blood sugar levels associated with diabetes can damage the nephrons over time, leading to kidney dysfunction and, ultimately, kidney failure. Choices A, B, and C are incorrect because diabetic nephropathy primarily impacts the nephrons in the kidneys, not the ureters, bladder, or urethra.

4. Which of the following is NOT an example of an intermolecular force?

• A. Hydrogen bonding
• B. Dipole-dipole interactions
• C. Ionic bonding
• D. London dispersion forces

Correct answer: C

Rationale: Ionic bonding is not considered an intermolecular force but an intramolecular force. Intermolecular forces occur between different molecules, while intramolecular forces act within a molecule. Hydrogen bonding, dipole-dipole interactions, and London dispersion forces are intermolecular forces. Hydrogen bonding involves a hydrogen atom bonded to a highly electronegative atom, dipole-dipole interactions occur between polar molecules, and London dispersion forces are temporary attractions between nonpolar molecules.

5. What is the difference between polygenic inheritance and pleiotropy?

• A. Polygenic inheritance involves multiple genes influencing one trait, while pleiotropy involves one gene affecting multiple traits.
• B. Polygenic inheritance is found in simple Mendelian traits, while pleiotropy is found in complex traits.
• C. Polygenic inheritance is always quantitative, while pleiotropy can be qualitative or quantitative.
• D. Both involve multiple genes and multiple traits, but the specific mechanisms differ

Correct answer: A

Rationale: - Polygenic inheritance refers to the situation where a trait is influenced by multiple genes, each contributing a small effect to the phenotype. These traits often show continuous variation and are not easily categorized into discrete categories. - Pleiotropy, on the other hand, occurs when a single gene influences multiple, seemingly unrelated traits. This means that a mutation in one gene can lead to multiple phenotypic effects across different traits or characteristics. - Therefore, the key difference between polygenic inheritance and pleiotropy lies in the number of genes involved in influencing a trait (multiple genes in polygenic inheritance vs. one gene in pleiotropy) and the direction of influence (one trait affected by multiple genes in polygenic inheritance vs. multiple traits affected by one gene in pleiotropy).

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