Nursing Elites

1. How many electrons are typically found in each shell of a neutral aluminum atom with 13 electrons in its electron cloud?

• A. 6 in the first shell, 7 in the second shell
• B. 2 in the first shell, 11 in the second shell
• C. 2 in the first shell, 8 in the second shell, 3 in the third shell
• D. 3 in the first shell, 5 in the second shell, 5 in the third shell

Correct answer: C

Rationale: In a neutral aluminum atom with 13 electrons, the electron distribution typically follows the electron shell filling order based on the Aufbau principle. The first shell can hold a maximum of 2 electrons, the second shell can hold up to 8 electrons, and the third shell can hold up to 8 electrons as well. Therefore, the distribution would be 2 electrons in the first shell, 8 electrons in the second shell, and 3 electrons in the third shell, totaling 13 electrons. Choice A is incorrect as it exceeds the maximum number of electrons the shells can hold. Choice B is incorrect as it does not distribute the electrons correctly among the shells. Choice D is incorrect as it also does not distribute the electrons correctly among the shells.

2. Which of the following is a type of white blood cell that plays a key role in adaptive immunity by seeking out, attacking, and destroying targeted pathogens?

• A. memory B cells
• B. neutrophils
• C. antibodies
• D. cytotoxic T cells

Correct answer: D

Rationale: The correct answer is cytotoxic T cells. Cytotoxic T cells are a type of white blood cell that is crucial in adaptive immunity. They are specialized in recognizing and destroying infected or abnormal cells in the body. Neutrophils are primarily involved in innate immunity, providing rapid response to infections. Antibodies are proteins produced by B cells and are essential in specific immune responses, but they do not directly attack pathogens. Memory B cells are part of the adaptive immune response, responsible for mounting a quicker and stronger response upon re-exposure to a pathogen. However, they do not directly seek out and destroy pathogens like cytotoxic T cells do.

3. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

4. Four different groups of the same species of peas are grown and exposed to differing levels of sunlight, water, and fertilizer as documented in the table below. The data in the water and fertilizer columns indicate how many times the peas are watered or fertilized per week, respectively. Group 2 is the only group that withered. What is a reasonable explanation for this occurrence? Group Sunlight Water Fertilizer 1 partial sun 4 mL/hr 1 2 full sun 7 mL/hr 1 3 no sun 14 mL/hr 2 4 partial sun 3 mL/hr 2

• A. Insects gnawed away at the stem of the plant.
• B. The roots rotted due to poor drainage.
• C. The soil type had nutritional deficiencies.
• D. This species of peas does not thrive in full sunlight.

Correct answer: D

Rationale: Group 2, the only group that withered, was exposed to full sun. This suggests that the species of peas being studied does not thrive in full sunlight, leading to its deterioration compared to the other groups with different light exposures. Choices A, B, and C are not the correct explanations for the withering of Group 2. There is no mention of insects in the stem, poor drainage, or soil nutritional deficiencies in the scenario provided. The key factor that sets Group 2 apart from the others is the full sunlight exposure, indicating that the species of peas is not suited for such conditions.

5. Which test is commonly used to assess kidney function?

• A. Complete blood count (CBC)
• B. Blood sugar test
• C. Urinalysis
• D. Creatinine clearance test

Correct answer: D

Rationale: The creatinine clearance test is commonly used to assess kidney function. Creatinine, a waste product produced by muscles, is filtered out of the blood by the kidneys. The creatinine clearance test measures how efficiently the kidneys clear creatinine from the blood. Abnormal levels of creatinine in the blood can indicate kidney dysfunction, making this test crucial for evaluating kidney function. Choice A, a complete blood count (CBC), provides information about different blood cells and is not a specific test for kidney function. Choice B, a blood sugar test, assesses glucose levels in the blood and is not directly related to kidney function. Choice C, a urinalysis, evaluates the contents of urine and can provide information about kidney health but is not as specific for assessing kidney function as the creatinine clearance test.

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