Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system. Enthalpy (B) is the total heat content of a system. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure.

2. A book slides across a table. What determines the magnitude of the frictional force acting on the book?

• A. Only the mass of the book
• B. Only the normal force from the table
• C. Both the mass of the book and the normal force from the table
• D. Neither the mass of the book nor the normal force from the table

Correct answer: C

Rationale: Both the mass of the book and the normal force from the table. Friction is proportional to both the normal force and the coefficient of friction, which depends on the materials in contact. Since the normal force depends on the weight of the object (mass x gravity), both factors are important.

3. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The correct answer is B: Fallopian tube. The fallopian tube is the most common location for an ectopic pregnancy to occur. This is because the fertilized egg typically gets stuck or implants in the fallopian tube instead of traveling to the uterus for normal implantation. If left untreated, an ectopic pregnancy in the fallopian tube can lead to serious complications such as tubal rupture and internal bleeding. The other options (ovary, cervix, vagina) are not typical sites for implantation of a fertilized egg and are less likely to result in an ectopic pregnancy.

4. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

5. Lymph nodes, found along lymphatic vessels, are important for:

• A. Storing blood
• B. Producing antibodies
• C. Filtering lymph and trapping harmful substances
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Lymph nodes are important for various functions in the immune system. They filter lymph, trapping harmful substances like bacteria and viruses, which helps in preventing infections. Lymph nodes also play a crucial role in producing antibodies, which are essential for fighting off pathogens. Additionally, lymph nodes do not store blood; that is the function of the spleen. Therefore, the correct answer is D because lymph nodes perform all the mentioned functions in supporting the body's immune response.

6. What is the Pauli exclusion principle?

• A. The principle that electrons fill orbitals in order of increasing energy.
• B. The principle that electrons cannot be in the same orbital with the same spin.
• C. The principle that the maximum number of electrons in an orbital is 2n^2, where n is the energy level of the orbital.
• D. The principle that the attractive force between an electron and the nucleus is inversely proportional to the distance between them.

Correct answer: B

Rationale: The Pauli exclusion principle states that no two electrons in an atom can have the same set of four quantum numbers. This means that electrons in the same orbital must have opposite spins, which is why they cannot be in the same orbital with the same spin. Option A refers to the Aufbau principle, option C refers to the maximum number of electrons in an orbital based on the formula 2n^2, and option D refers to Coulomb's law, which describes the electrostatic force between charged particles.

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