Nursing Elites

1. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

2. The number of protons in an atom determines its:

• A. Mass number
• B. Atomic number
• C. Atomic weight
• D. Valence electron count

Correct answer: B

Rationale: The number of protons in an atom is known as the atomic number. The atomic number uniquely identifies an element and determines its position on the periodic table. It is a fundamental property of an element and directly influences its chemical behavior and interactions. The mass number, on the other hand, is the sum of protons and neutrons in the nucleus of an atom, not just protons. Atomic weight is the average mass of an element's isotopes considering their relative abundance, not solely based on the number of protons. Valence electron count refers to the number of electrons in the outermost energy level of an atom, influencing its ability to form bonds and participate in chemical reactions, but it is not determined by the number of protons in the atom.

3. Where does sperm production occur?

• A. Prostate gland
• B. Seminal vesicles
• C. Scrotum
• D. Seminiferous tubules

Correct answer: D

Rationale: Sperm production occurs in the seminiferous tubules within the testes. These tubules are responsible for spermatogenesis, the process of sperm creation. The prostate gland and seminal vesicles contribute to seminal fluid production, while the scrotum houses the testes but does not produce sperm. Therefore, choices A, B, and C are incorrect as they are not sites for sperm production.

4. Which hormone deficiency can lead to stunted growth and developmental delays in children?

• A. Estrogen
• B. Testosterone
• C. Growth hormone
• D. Insulin

Correct answer: C

Rationale: The correct answer is C, Growth hormone. Growth hormone plays a crucial role in stimulating growth, cell reproduction, and regeneration in children. A deficiency in growth hormone can lead to stunted growth and developmental delays. Estrogen and testosterone are sex hormones that do not directly influence growth in the same way as growth hormone. Insulin primarily regulates blood sugar levels and is not the primary hormone responsible for growth and development in children.

5. Which hormone is responsible for regulating sleep-wake cycles and is influenced by light exposure?

• A. Melatonin
• B. Cortisol
• C. Estrogen
• D. Glucagon

Correct answer: A

Rationale: The correct answer is A: Melatonin. Melatonin is the hormone responsible for regulating sleep-wake cycles, also known as the circadian rhythm. Its production is influenced by light exposure, with levels increasing in the evening in response to darkness, signaling the body that it is time to sleep. Choice B, cortisol, is a stress hormone and does not directly regulate sleep-wake cycles. Choice C, estrogen, is a sex hormone and is not primarily involved in regulating sleep. Choice D, glucagon, is a hormone that increases blood glucose levels and is not related to sleep-wake cycles.

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