1. Kidney stones are formed when:

A. Excess water is not reabsorbed
B. Minerals crystallize in the urine
C. Electrolytes become too concentrated
D. All of the above

Correct answer: B

Rationale: The correct answer is B: "Minerals crystallize in the urine." Kidney stones are formed when minerals in the urine combine and crystallize, forming solid masses. This process can occur due to various factors, such as high levels of calcium, oxalate, or uric acid in the urine. Options A and C are not directly related to the formation of kidney stones. Option D is incorrect because not all the statements are true; only minerals crystallizing in the urine lead to kidney stone formation.

2. Chyle, a milky white fluid, is transported by lymphatic vessels from the:

A. Lungs
B. Intestines
C. Kidneys
D. Skin

Correct answer: B

Rationale: The correct answer is B: Intestines. Chyle is a milky white fluid that is formed in the small intestine during digestion, mainly from the absorption of dietary fats. It is rich in fats and lymphocytes. Lymphatic vessels in the intestines, called lacteals, absorb the chyle and transport it through the lymphatic system. Chyle eventually enters the bloodstream via the thoracic duct. The lungs are responsible for gas exchange, not the transport of chyle. The kidneys are involved in filtering blood and producing urine. The skin is the body's largest organ responsible for protection, temperature regulation, and sensation, but it is not involved in transporting chyle.

3. Which of the following is NOT a part of a plant cell?

A. Cell wall
B. Plasma membrane
C. Vacuole
D. Mitochondria

Correct answer: D

Rationale: Rationale: A) Cell wall: This is a structure found in plant cells that provides support and protection. B) Plasma membrane: Also known as the cell membrane, it surrounds the cell and regulates the passage of substances in and out of the cell. C) Vacuole: This is a storage organelle found in plant cells that stores water, nutrients, and waste products. D) Mitochondria: Mitochondria are membrane-bound organelles found in both plant and animal cells. They are responsible for producing energy in the form of ATP through cellular respiration. Therefore, the correct answer is D) Mitochondria, as it is a part of a plant cell.

4. What happens during a physical change in matter?

A. A new substance with different properties is formed
B. The chemical composition of the substance changes
C. The original substance can be recovered by physical means
D. Energy is either released or absorbed

Correct answer: C

Rationale: During a physical change in matter, the original substance undergoes a change in its physical state or appearance without any change in its chemical composition. This means that the original substance can be recovered by physical means, such as melting, freezing, boiling, or condensing. No new substance is formed (option A), the chemical composition remains the same (option B), and energy changes can occur but are not a defining characteristic of a physical change (option D).

5. Ms. Valencia develops the standards to be followed. Among the following standards, which is

A. The patients verbalized satisfaction of the nursing care received
B. Rotation of duty will be done every four weeks for all patient care personnel.
C. All patients shall have their weights taken recorded
D. Patients shall answer the evaluation form before discharge

Correct answer: C

Rationale: The correct answer is C because it is a clear and specific standard that can be easily measured and monitored. Weight recording is a fundamental aspect of patient care and is essential for tracking changes in health status. Verbalized satisfaction (option A) is subjective and may not be consistently measurable. Rotation of duty (option B) is important but may not be a standard developed by a nurse manager. Answering an evaluation form before discharge (option D) is important but may not be a standard created by Ms. Valencia for all patients.