Nursing Elites

1. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

2. A cell containing 12 chromosomes divides into daughter cells in mitosis. How many chromosomes are in each daughter cell?

• A. 3
• B. 6
• C. 12
• D. 24

Correct answer: C

Rationale: During mitosis, the cell undergoes nuclear division without changing the number of chromosomes. Therefore, the daughter cells produced will have the same number of chromosomes as the parent cell. In this case, since the parent cell contains 12 chromosomes, each daughter cell will also have 12 chromosomes. Choices A, B, and D are incorrect because during mitosis, the chromosome number remains the same, and daughter cells inherit the same number of chromosomes as the parent cell.

3. What word is used incorrectly in the following sentence: 'Whoever wrote the letter forgot to sign their name.'

• A. Whoever
• B. wrote
• C. their
• D. name

Correct answer: C

Rationale: The word 'their' is used incorrectly in the sentence because it is a plural pronoun while 'Whoever' is singular. In this case, 'his or her' should be used instead of 'their' to maintain subject-verb agreement. The other choices 'Whoever,' 'wrote,' and 'name' are used correctly in the sentence.

4. Select the meaning of the underlined word in the following sentence. The interns observed the contour of the patient’s rash.

• A. Shape
• B. Answers
• C. Amount
• D. Extension

Correct answer: A

Rationale: In this context, the word 'contour' refers to the outline or shape of the patient's rash. It indicates the specific form or structure of the rash as observed by the interns. 'Answers,' 'Amount,' and 'Extension' are incorrect choices because they do not accurately reflect the meaning of 'contour' in this sentence.

5. A chemist takes 100 mL of a 40 g NaCl solution and dilutes it to 1L. What is the concentration (molarity) of the new solution?

• A. 0.04 M NaCl
• B. 0.25 M NaCl
• C. 0.40 M NaCl
• D. 2.5 M NaCl

Correct answer: C

Rationale: Initially, the chemist has 40 g of NaCl in 100 mL of solution. To find the initial molarity, we need to calculate the number of moles of NaCl using the molar mass of NaCl (58.44 g/mol). After dilution to 1 L, the molarity of the new solution can be calculated by dividing the moles of NaCl by the total volume in liters. Therefore, the concentration (molarity) of the new solution is 0.40 M NaCl. Choice A (0.04 M NaCl) is incorrect because it doesn't consider the correct molar concentration after dilution. Choice B (0.25 M NaCl) is incorrect as it also doesn't account for the correct molar concentration post-dilution. Choice D (2.5 M NaCl) is incorrect as it is too concentrated given the initial amount of NaCl and the dilution factor.

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