Nursing Elites

1. In the reaction 2H2 + O2 → 2H2O, how many moles of oxygen are required to react completely with 4 moles of hydrogen?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: B

Rationale: The balanced chemical equation indicates that 2 moles of H2 react with 1 mole of O2 to produce 2 moles of H2O. To determine how many moles of O2 are required to react with 4 moles of H2, you can use the mole ratio from the balanced equation: 2 moles of H2 react with 1 mole of O2. Therefore, to react completely with 4 moles of H2, you would need 2 moles of O2 (4 moles H2 ÷ 2 moles H2 per 1 mole O2). Hence, 2 moles of oxygen are required to react completely with 4 moles of hydrogen. Choices A, C, and D are incorrect because they do not reflect the correct stoichiometry as defined by the balanced chemical equation.

2. Where is the thymus gland, crucial for immune system development, located?

• A. Chest
• B. Abdomen
• C. Pelvis
• D. Head and neck

Correct answer: A

Rationale: The thymus gland is located in the chest, specifically in the upper part of the chest behind the breastbone (sternum). It plays a crucial role in the development and maturation of T-lymphocytes (T cells), which are important for the immune system's function. Choice B (Abdomen), C (Pelvis), and D (Head and neck) are incorrect locations for the thymus gland. The thymus is not found in the abdomen, pelvis, head, or neck regions; it is uniquely situated in the upper chest area.

3. What defines the systole phase in the cardiac cycle?

• A. Relaxation of the heart
• B. Contraction of the heart
• C. Diastole of the heart
• D. Pulse rate of the heart

Correct answer: B

Rationale: The correct answer is B: Contraction of the heart. Systole is the phase of the cardiac cycle during which the heart muscle contracts, pumping blood out of the chambers. It is essential for maintaining circulation and delivering oxygen and nutrients to the body's tissues. Diastole (choice C) is the relaxation phase of the heart when the chambers fill with blood. Pulse rate (choice D) is the number of heartbeats per minute, not specifically related to the systole phase. Choice A, 'Relaxation of the heart,' is incorrect because systole refers to the contraction phase of the cardiac cycle, not relaxation.

4. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

5. Which of the following neurotransmitters slows down the activity of neurons, preventing them from becoming overexcited?

• A. Acetylcholine
• B. Dopamine
• C. GABA
• D. Serotonin

Correct answer: C

Rationale: The correct answer is C: GABA (gamma-aminobutyric acid). GABA acts as an inhibitory neurotransmitter that reduces neuronal activity, thus preventing overexcitation. Acetylcholine (choice A) is involved in muscle control and cognitive function, but it is not primarily responsible for slowing down neuronal activity. Dopamine (choice B) plays a role in reward-motivated behavior and motor control, rather than inhibiting neuronal firing. Serotonin (choice D) is involved in mood regulation, sleep, and appetite but does not primarily slow down neuronal activity to prevent overexcitation.

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