Nursing Elites

1. 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.

2. Which of the following is the main organ responsible for regulating sleep?

• A. Thalamus
• B. Hypothalamus
• C. Pituitary gland
• D. Pineal gland

Correct answer: B

Rationale: The main organ responsible for regulating sleep is the hypothalamus. The hypothalamus plays a crucial role in controlling the body's circadian rhythm, which is the internal clock that regulates the sleep-wake cycle. It receives input from the eyes about light and darkness, aiding in determining when it's time to sleep or wake up. Additionally, the hypothalamus regulates the production of melatonin by the pineal gland, a hormone that helps control sleep patterns. While the thalamus relays sensory information to the brain, the pituitary gland is primarily responsible for hormone production and release, and the pineal gland produces melatonin under the control of the hypothalamus. Therefore, the hypothalamus is the correct choice as the main organ involved in sleep regulation.

3. What is the primary composition of the stratum corneum, the outermost layer of the epidermis?

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The stratum corneum, the outermost layer of the epidermis, is primarily composed of keratinized dead cells. These cells are flattened, fully keratinized, and lack nuclei, serving a protective function for the skin. Melanocytes are responsible for producing melanin, providing skin pigmentation. Langerhans cells are involved in the immune response within the skin. Merkel cells are associated with sensory functions in the skin, particularly in touch sensations. Therefore, the correct answer is A as it accurately reflects the main constituent of the stratum corneum, which acts as a barrier against external factors.

4. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

5. What is the primary function of red blood cells?

• A. To transport nutrients
• B. To transport oxygen
• C. To fight infection
• D. To produce antibodies

Correct answer: B

Rationale: The correct answer is B: To transport oxygen. Red blood cells play a crucial role in carrying oxygen from the lungs to all the tissues and organs in the body. This oxygen transport is essential for cellular respiration, where oxygen is used in the production of energy. Red blood cells do not primarily transport nutrients, fight infection, or produce antibodies. Choice A is incorrect because while red blood cells do carry some nutrients, their primary function is to transport oxygen. Choice C is incorrect because immune cells, not red blood cells, are responsible for fighting infections. Choice D is incorrect as antibody production is mainly carried out by specialized white blood cells, not red blood cells.

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