Nokea
Which two elements react together to form an ionic compound?
- A. R and T
- B. T and X
- C. X and Z
- D. Z and R
Correct Answer: C
Rationale: The correct answer is C, X and Z. Ionic compounds are formed when a metal (X) reacts with a nonmetal (Z) by transferring electrons to achieve a stable octet configuration. Metal atoms tend to lose electrons to form positively charged cations, while nonmetal atoms tend to gain electrons to form negatively charged anions. In this case, X (metal) and Z (nonmetal) will react to form an ionic compound through electron transfer. Choices A, B, and D are incorrect because they do not involve a metal-nonmetal combination, which is essential for the formation of an ionic compound.
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Steroid hormones influence cellular activities by __________.
- A. activating cyclic AMP located outside the cell
- B. binding to DNA and forming a gene-hormone complex
- C. activating G proteins
- D. using calcium ions as a second messenger
Correct Answer: B
Rationale: The correct answer is B because steroid hormones bind to DNA and form a gene-hormone complex, which then regulates gene expression. This directly influences cellular activities at the genetic level. Choices A, C, and D are incorrect because steroid hormones do not activate cyclic AMP, G proteins, or use calcium ions as second messengers for their cellular actions. Steroid hormones act through genomic mechanisms, not via the signaling pathways associated with choices A, C, and D.
During care of the patient with SIADH, what should the nurse do?
- A. Monitor neurologic status at least every 2 hours.
- B. Teach the patient receiving treatment with diuretics to restrict sodium intake.
- C. Keep the head of the bed elevated to prevent antidiuretic hormone (ADH) release.
- D. Notify the health care provider if the patient's blood pressure decreases more than 20 mm Hg from baseline.
Correct Answer: A
Rationale: Frequent neurologic monitoring is essential for patients with SIADH due to the risk of cerebral edema from hyponatremia.
Which layer of cervical fascia forms the false capsule of thyroid gland?
- A. Carotid sheath
- B. Investing layer
- C. Pretracheal fascia
- D. Prevertebral fascia
Correct Answer: C
Rationale: The correct answer is C: Pretracheal fascia. This layer surrounds the thyroid gland, forming the false capsule. It separates the thyroid from the strap muscles anteriorly and the trachea and esophagus posteriorly. The Carotid sheath (A) encloses the common carotid artery, internal jugular vein, and vagus nerve. The Investing layer (B) covers the sternocleidomastoid and trapezius muscles. The Prevertebral fascia (D) surrounds the vertebral column and deep neck muscles, not directly related to the thyroid gland.
Which of the following glands can be classified as an endocrine and exocrine gland?
- A. Thyroid
- B. Thymus
- C. Pancreas
- D. Pituitary
Correct Answer: C
Rationale: The correct answer is C: Pancreas. The pancreas is both an endocrine and exocrine gland. It secretes digestive enzymes (exocrine function) into the small intestine to aid in digestion, and it also releases hormones like insulin and glucagon (endocrine function) into the bloodstream to regulate blood sugar levels.
Rationale:
1. The thyroid gland (choice A) is solely an endocrine gland responsible for producing hormones that regulate metabolism.
2. The thymus gland (choice B) is primarily an endocrine gland involved in immune function, producing hormones that regulate T cell development.
3. The pituitary gland (choice D) is known as the master gland and is purely endocrine, controlling various hormonal functions in the body.
In summary, the pancreas uniquely exhibits both endocrine and exocrine functions, making it the correct choice.
What is a cause of primary hypothyroidism in adults?
- A. Malignant or benign thyroid nodules
- B. Surgical removal or failure of the pituitary gland
- C. Surgical removal or radiation of the thyroid gland
- D. Autoimmune-induced atrophy of the thyroid gland
Correct Answer: D
Rationale: Primary hypothyroidism in adults is commonly caused by autoimmune diseases such as Hashimoto's thyroiditis, which leads to thyroid tissue destruction.