Nursing Elites

1. Which of the following structures is responsible for filtering blood in the kidneys?

• A. Ureter
• B. Glomerulus
• C. Nephron
• D. Renal artery

Correct answer: B

Rationale: The correct answer is B: Glomerulus. The glomerulus, located in the nephron of the kidney, is a network of tiny blood vessels responsible for filtering blood. It removes waste products and excess substances to form urine. The ureter carries urine from the kidneys to the bladder and is not involved in blood filtration. The nephron is the functional unit of the kidney where blood is filtered and urine is produced. The renal artery supplies blood to the kidneys but is not directly involved in the filtration process.

2. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

3. 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.

4. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

5. Which of the following correctly describes a strong acid?

• A. A strong acid completely ionizes in water.
• B. A strong acid donates more than one proton.
• C. A strong acid contains at least one metal atom.
• D. A strong acid will not decompose.

Correct answer: A

Rationale: The correct answer is A. A strong acid is defined as an acid that completely ionizes in water, meaning it dissociates fully into its constituent ions in solution. This characteristic differentiates strong acids from weak acids, which do not fully dissociate in water. Choice B is incorrect because the number of protons donated does not solely define the strength of an acid. Choice C is incorrect as strong acids are not defined by the presence of metal atoms, and Choice D is incorrect because all acids can decompose, but the strength of the acid is based on its ability to ionize in water.

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