Nursing Elites

1. In an SN2 reaction, the rate of the reaction is affected by

• A. Only the concentration of the nucleophile
• B. Only the concentration of the electrophile
• C. Neither the concentration of the nucleophile nor the electrophile
• D. Both the concentration of the nucleophile and the electrophile

Correct answer: D

Rationale: In an SN2 reaction, the rate of the reaction is affected by both the concentration of the nucleophile and the electrophile. This is because in an SN2 reaction, the nucleophile directly attacks the electrophilic center, leading to the formation of the product. A higher concentration of nucleophile increases the chances of successful collisions with the electrophile, thereby increasing the reaction rate. Similarly, a higher concentration of the electrophile provides more reaction sites for the nucleophile to attack, also increasing the rate of the reaction. Therefore, both the nucleophile and electrophile concentrations play crucial roles in determining the rate of an SN2 reaction.

2. Which pattern of nursing care involves the care given by a group of paraprofessional workers

• A. Case method
• B. Modular nursing
• C. Nursing case management
• D. Team nursing

Correct answer: A

Rationale: The correct answer is A: 'Case method.' The case method of nursing care involves the care provided by a group of paraprofessional workers, such as nursing assistants or aides, under the supervision of professional nurses. In this model, the nursing team works together to deliver care to a group of patients based on their specific needs and conditions. This method allows for efficient and coordinated care delivery, with each member of the team playing a crucial role in meeting the patients' healthcare needs. It is important for nurses to effectively delegate tasks and supervise paraprofessional workers in the case method model to ensure high-quality care and patient safety.

3. What happens to the density of a gas when its temperature increases at constant pressure?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Information insufficient

Correct answer: B

Rationale: As gas particles gain thermal energy with increasing temperature, they spread out, decreasing the density.

4. Which of the following terms refers to a muscle twitch, a single forceful contraction of a muscle fiber?

• A. Tetanus
• B. Trembling
• C. Fasciculation
• D. Rigidity

Correct answer: C

Rationale: The correct answer is C: "Fasciculation." A muscle twitch refers to the involuntary contraction of a small group of muscle fibers. Tetanus (choice A) is a sustained contraction of a muscle caused by rapid stimulation. Trembling (choice B) is the shaking or quivering of muscles. Rigidity (choice D) refers to stiffness or inflexibility in muscles. Fasciculation is the term that specifically describes a muscle twitch, which is a single forceful contraction of a muscle fiber. Therefore, choice C is the most appropriate term for this scenario.

5. What is the process by which a large, unstable nucleus splits into two smaller nuclei, releasing neutrons and energy?

• A. Alpha decay
• B. Beta decay
• C. Gamma decay
• D. Nuclear fission

Correct answer: D

Rationale: Nuclear fission involves splitting a heavy nucleus into smaller fragments, releasing neutrons and energy.

6. The adaptive immune system develops a targeted response to specific pathogens. What type of immune cell is responsible for producing antibodies?

• A. Natural killer cells
• B. Phagocytes
• C. Helper T cells
• D. B cells

Correct answer: D

Rationale: The correct answer is D: B cells. B cells are a type of lymphocyte responsible for producing antibodies, which play a crucial role in the adaptive immune response. When a pathogen enters the body, B cells are activated and differentiate into plasma cells that secrete specific antibodies to target and neutralize the pathogen. Natural killer cells (A) are part of the innate immune system and are responsible for killing infected or abnormal cells. Phagocytes (B) are another type of innate immune cell that engulfs and digests pathogens. Helper T cells (C) play a vital role in coordinating the immune response but do not directly produce antibodies.

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