Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. Which property remains constant despite possible changes to the element?

• A. Atomic number
• B. Number of electrons
• C. Atomic mass
• D. Isotopic form

Correct answer: A

Rationale: The correct answer is 'Atomic number' (A). The atomic number of an element remains constant as it defines the number of protons in the nucleus, which does not change despite various chemical reactions or physical processes affecting the element. The number of protons in the nucleus determines the identity of the element, and this fundamental property remains unchanged even if the element undergoes chemical reactions, forms ions, or changes its physical state. Choices B, C, and D are incorrect because the number of electrons (B) can change in chemical reactions, atomic mass (C) can vary with isotopes, and isotopic form (D) refers to variations in the number of neutrons in the nucleus, which can result in different isotopes of an element.

3. What is the stoichiometric coefficient of nitrogen (N2) in the balanced equation for the Haber process: N2 + 3H2 → 2NH3?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: In the balanced equation for the Haber process: N2 + 3H2 → 2NH3, the stoichiometric coefficient of nitrogen (N2) is 1. This means that one molecule of nitrogen reacts with three molecules of hydrogen to produce two molecules of ammonia. The coefficient '1' indicates the mole ratio of N2 in the reaction. Choice B, 2, is incorrect because it represents the coefficient for ammonia (NH3) in the balanced equation. Choice C, 3, is incorrect as it corresponds to the coefficient of hydrogen (H2). Choice D, 4, is not the correct stoichiometric coefficient for nitrogen (N2) in this equation.

4. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

5. What is the process of splitting a heavy nucleus into smaller nuclei, releasing a vast amount of energy called?

• A. Nuclear fusion
• B. Nuclear fission
• C. Radioactive decay
• D. Chain reaction

Correct answer: B

Rationale: The correct answer is B: Nuclear fission. Nuclear fission is the process of splitting a heavy nucleus into smaller nuclei, releasing a vast amount of energy. This process is commonly used in nuclear power plants and nuclear weapons. It is a controlled chain reaction that generates energy. Option A, Nuclear fusion, is the process of combining two light nuclei to form a heavier nucleus, releasing energy. This process powers the sun and other stars. Option C, Radioactive decay, is the process by which an unstable atomic nucleus loses energy by emitting radiation. Option D, Chain reaction, is a self-sustaining reaction where the products of one reaction event stimulate further reaction events. While chain reactions can occur in both nuclear fission and fusion, the specific process of splitting a heavy nucleus into smaller ones is known as nuclear fission.

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