Nursing Elites

1. A pediatrician notes that an infant's cartilage is disappearing and being replaced by bone. What process has the doctor observed?

• A. Mineralization
• B. Ossification
• C. Osteoporosis
• D. Calcification

Correct answer: B

Rationale: The doctor has observed the process of ossification. Ossification is the natural process where cartilage in the body is replaced by bone. This process takes place during fetal development, growth, and bone fracture healing. Ossification involves the formation of bone tissue by depositing minerals like calcium and phosphorus within the cartilage matrix, leading to the development of a bone structure. Choice A, mineralization, refers to the process of forming mineral deposits in tissues, but it does not involve the replacement of cartilage by bone. Choice C, osteoporosis, is a condition characterized by bone density loss and increased fragility, not the natural process of cartilage replacement by bone. Choice D, calcification, is the process of deposition of calcium salts in various tissues, but it does not specifically involve the replacement of cartilage by bone as in ossification.

2. How do isotopes affect the atomic mass of an element?

• A. Isotopes have no effect on the atomic mass of an element.
• B. Isotopes cause the atomic mass of an element to vary slightly.
• C. Isotopes cause the atomic mass of an element to be exactly the same for all isotopes of that element.
• D. Isotopes cause the atomic mass of an element to vary greatly.

Correct answer: B

Rationale: Isotopes are atoms of the same element that have the same number of protons but different numbers of neutrons. Since the atomic mass of an element is the weighted average of the masses of its isotopes, the presence of isotopes causes the atomic mass of an element to vary slightly. This variation occurs because different isotopes have different masses due to their varying numbers of neutrons. The atomic mass is affected by the abundance of each isotope, leading to a slight fluctuation in the overall atomic mass of the element. Choice A is incorrect because isotopes do influence the atomic mass. Choice C is incorrect because isotopes have different masses, affecting the overall atomic mass. Choice D is incorrect as isotopes typically do not cause a significant variation in atomic mass, but rather a slight fluctuation.

3. Which system is responsible for transporting nutrients, gases, and wastes in the body?

• A. Respiratory system
• B. Digestive system
• C. Circulatory system
• D. Nervous system

Correct answer: C

Rationale: The circulatory system is responsible for transporting nutrients, gases, and wastes to and from the cells in the body. It includes the heart, blood vessels, and blood, which work together to distribute oxygen, nutrients, and remove waste products throughout the body. The respiratory system is primarily involved in gas exchange, the digestive system breaks down food for absorption, and the nervous system is responsible for transmitting signals throughout the body.

4. What is the cycle of infection?

• A. Reservoir host, means of exit, means of transmission, means of entrance, susceptible host
• B. Entry point, transmission, replication, exit, susceptible host
• C. Susceptible host, replication, transmission, entry, exit
• D. Transmission, replication, entry, exit, susceptible host

Correct answer: A

Rationale: The correct answer is A: 'Reservoir host, means of exit, means of transmission, means of entrance, susceptible host.' This cycle of infection involves the pathogen starting in a reservoir host, exiting through a means, being transmitted to another host, entering the new host through a means, and ultimately infecting the susceptible host. Choices B, C, and D are incorrect because they do not follow the correct sequence of events in the cycle of infection.

5. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

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