Nursing Elites

1. Which of the following is unique to covalent bonds?

• A. Most covalent bonds are formed between the elements H, F, N, and O.
• B. Covalent bonds are dependent on forming dipoles.
• C. Bonding electrons are shared between two or more atoms.
• D. Molecules with covalent bonds tend to have a crystalline solid structure.

Correct answer: C

Rationale: The correct answer is C: 'Bonding electrons are shared between two or more atoms.' This statement is unique to covalent bonds. In covalent bonds, atoms share electrons to achieve a stable electron configuration, which leads to the formation of a bond. This sharing of electrons is a fundamental characteristic of covalent bonds and distinguishes them from other types of chemical bonds, such as ionic bonds, where electrons are transferred rather than shared. Choices A, B, and D do not represent unique characteristics of covalent bonds. Choice A describes some common elements involved in covalent bonds, choice B refers to the concept of dipoles, which can also exist in other types of bonds, and choice D describes a property of molecules (crystalline solid structure) that is not exclusive to covalent bonds.

2. From which type of tissue is the myelin sheath derived, a fatty substance that insulates nerve fibers?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath, a fatty substance that insulates nerve fibers, is derived from nervous tissue, specifically glial cells. Glial cells, including oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system, are responsible for producing the myelin sheath that surrounds and insulates nerve fibers, aiding in the conduction of nerve impulses. Epithelial tissue (Choice A), Muscle tissue (Choice B), and Connective tissue (Choice D) are not responsible for producing the myelin sheath; instead, nervous tissue (glial cells) plays this crucial role.

3. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

4. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The main target organ for insulin is muscles. Insulin plays a crucial role in regulating glucose metabolism by promoting the uptake of glucose into muscle cells. This glucose can then be utilized for energy production or stored for later use. Therefore, muscles are the primary site where insulin exerts its effects on glucose uptake and utilization. The liver primarily responds to insulin by regulating glucose storage and release, but the main target for insulin-mediated glucose uptake is muscles. Kidneys are not a target organ for insulin action in glucose metabolism. The brain does not heavily rely on insulin for glucose uptake as it primarily uses glucose independently of insulin for energy production.

5. Which of the following is the largest organ in the human body?

• A. Liver
• B. Brain
• C. Heart
• D. Skin

Correct answer: D

Rationale: The skin is the largest organ in the human body. It covers the entire body, serving as a protective barrier against pathogens, UV radiation, and physical damage. Additionally, the skin plays a crucial role in regulating body temperature and synthesizing vitamin D when exposed to sunlight. Choices A, B, and C are incorrect. The liver is the largest internal organ, the brain is the control center of the body, and the heart is a vital organ responsible for pumping blood throughout the body. However, none of these organs are the largest in terms of surface area or overall size.

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