Nursing Elites

1. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

2. Which of the following reagents can be used to convert a primary alcohol to an alkyl halide?

• A. HI
• B. H2O
• C. NaOH
• D. SOCl2

Correct answer: D

Rationale: SOCl2 (thionyl chloride) is commonly used to convert primary alcohols to alkyl halides through an SN2 mechanism. Thionyl chloride reacts with the alcohol to form an alkyl chloride. HI (hydroiodic acid) is typically used to convert alcohols to alkyl iodides specifically, not alkyl halides in general. H2O (water) and NaOH (sodium hydroxide) are not reagents used for converting alcohols to alkyl halides. Therefore, the correct answer is SOCl2 as it facilitates the conversion of primary alcohols to alkyl halides, unlike the other options provided.

3. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

4. What is the balanced chemical equation for the reaction between sodium and chlorine to form sodium chloride?

• A. Na + Cl2 -> NaCl
• B. 2Na + Cl2 -> 2NaCl
• C. Na2 + Cl -> 2NaCl
• D. Na + 2Cl -> NaCl2

Correct answer: B

Rationale: In a balanced chemical equation, the number of atoms of each element must be the same on both sides of the equation. When sodium (Na) reacts with chlorine (Cl2) to form sodium chloride (NaCl), we need to ensure the equation is balanced. There are 2 chlorine atoms in Cl2; hence, we need 2 sodium atoms on the left side to balance it. Therefore, the balanced chemical equation is 2Na + Cl2 -> 2NaCl. Choice A is incorrect because it does not have the correct coefficients to balance the equation. Choice C is incorrect as it incorrectly represents the formula of sodium. Choice D is incorrect as it forms NaCl2, which is not the correct compound formed in this reaction.

5. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

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