Nursing Elites

1. In the human skeleton, which of the following lists some of the vertebrae in descending order?

• A. Atlas, axis, thoracic, lumbar, sacral, coccyx.
• B. Axis, sacral, coccyx, atlas, lumbar, thoracic.
• C. Thoracic, sacral, lumbar, axis, coccyx, atlas.
• D. Coccyx, lumbar, axis, sacral, thoracic, atlas.

Correct answer: A

Rationale: The correct order of some of the vertebrae in the human skeleton in descending order is Atlas, Axis, Thoracic, Lumbar, Sacral, Coccyx. This sequence follows the typical arrangement from the top of the spine down towards the pelvis. Choice B is incorrect as it does not follow the descending order of vertebrae. Choice C is incorrect as it starts with Thoracic which is not the first vertebra in the descending order. Choice D is incorrect as it starts with Coccyx which is the last vertebra in the descending order.

2. In the reaction 2Na + 2H2O → 2NaOH + H2, what is the limiting reactant when 3 moles of sodium react with 2 moles of water?

• A. Na
• B. H2O
• C. NaOH
• D. H2

Correct answer: A

Rationale: The balanced chemical equation indicates that 2 moles of sodium react with 2 moles of water to yield 2 moles of sodium hydroxide and 1 mole of hydrogen gas. When 3 moles of sodium react with only 2 moles of water, sodium becomes the limiting reactant as it is present in excess compared to the available water molecules. This situation arises because not all sodium atoms can fully react with the limited amount of water, resulting in sodium being the limiting reactant in this specific case. Choice B (H2O), choice C (NaOH), and choice D (H2) are incorrect as they are not the limiting reactant in the given reaction scenario.

3. Which type of waves do not require a medium for propagation?

• A. Transverse waves
• B. Longitudinal waves
• C. Electromagnetic waves
• D. Surface waves

Correct answer: C

Rationale: Electromagnetic waves do not require a medium for propagation as they consist of oscillating electric and magnetic fields that can travel through a vacuum. This property allows electromagnetic waves, such as light, radio waves, and X-rays, to propagate through space. In contrast, transverse and longitudinal waves require a medium (solid, liquid, or gas) for propagation. Transverse waves have vibrations perpendicular to the direction of energy transfer, while longitudinal waves have vibrations parallel to the direction of energy transfer. Surface waves, which are a combination of transverse and longitudinal waves, also need a medium for propagation. Understanding the distinction between these wave types is essential in various fields, including physics and communication technologies.

4. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

5. The innate immune system provides a non-specific first line of defense. What are some physical barriers that contribute to the innate immune system?

• A. Antibodies
• B. Phagocytes
• C. Skin and mucous membranes
• D. Memory B cells

Correct answer: C

Rationale: Physical barriers such as the skin and mucous membranes are crucial components of the innate immune system's first line of defense. These barriers act as physical obstacles that prevent pathogens from entering the body. Antibodies (option A) are produced by the adaptive immune system in response to specific pathogens and do not serve as physical barriers. Phagocytes (option B) are cells that engulf and digest pathogens, playing a role in the innate immune response but not as physical barriers. Memory B cells (option D) are part of the adaptive immune system and aid in mounting a faster and more effective immune response upon subsequent exposure to a specific pathogen, but they are not physical barriers against initial pathogen entry.

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