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. How many mL of a 0 M stock solution of HCl should be added to water to create 250 mL of a 50 M solution of HCl?

• A. 31.25 mL
• B. 32 mL
• C. 30 mL
• D. 31.3 mL

Correct answer: B

Rationale: To prepare 250 mL of a 50 M solution of HCl, the formula V1 x C1 = V2 x C2 is used, where V1 is the volume of the stock solution, C1 is the concentration of the stock solution, V2 is the final volume of the desired solution, and C2 is the final concentration of the desired solution. Given V1 x 0 M = 250 mL x 50 M, solving for V1 results in V1 = (250 mL x 50 M) / 0 M = 32 mL. Therefore, 32 mL of the 0 M stock solution of HCl needs to be added to water to create a 250 mL solution of 50 M HCl. Choices A, C, and D are incorrect because they do not represent the accurate volume required for the dilution calculation based on the given concentrations and volumes in the problem.

3. The patella, commonly known as the kneecap, is an example of a:

• A. Sesamoid bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The patella, also known as the kneecap, is an example of a sesamoid bone. Sesamoid bones develop within tendons, such as the patellar tendon in this case. The patella is embedded in the tendon of the quadriceps muscle, enhancing the mechanical advantage of the muscle and protecting the knee joint. Long bones, like the femur, are characterized by their elongated shape with growth plates at the ends. Short bones, such as those in the wrist and ankle, are cube-shaped bones. Irregular bones, like vertebrae, do not fit into the other bone shape categories due to their unique shapes and functions.

4. How can you differentiate between a bacterial and viral infection based solely on symptoms?

• A. It's impossible to differentiate solely based on symptoms.
• B. Bacterial infections typically respond well to antibiotics, while viral infections don't.
• C. Bacterial infections usually cause fever, while viral infections don't.
• D. Viral infections often present with respiratory symptoms like a cough, while bacterial infections don't.

Correct answer: A

Rationale: It is impossible to differentiate between a bacterial and viral infection based solely on symptoms because many symptoms overlap between the two types of infections. Symptoms like fever, cough, and others can be present in both bacterial and viral infections. Additional diagnostic tests such as cultures or blood tests are often needed to determine the cause of the infection accurately. Relying only on symptoms can lead to misdiagnosis and inappropriate treatment. Choices B, C, and D are incorrect because they oversimplify the differentiation process and do not encompass the complexity of symptoms associated with bacterial and viral infections. While it is true that bacterial infections may respond to antibiotics and some differences in symptoms may be observed between bacterial and viral infections, these are not definitive indicators without proper diagnostic tests.

5. Which of the following statements is true about an allergic reaction?

• A. An allergic reaction, such as hives or wheezing, results from overactive body systems such as the integumentary and respiratory systems.
• B. An allergic reaction is a result of overactive B-cells in the body that release various immunoglobulins.
• C. An allergic reaction is caused by overactive mast cells in the body, which are stimulated by Immunoglobulin E.
• D. An allergic reaction involves substances like histamine, keratin, and collagen.

Correct answer: C

Rationale: The correct answer is C. Mast cells are responsible for releasing histamine and other chemicals during an allergic response. Choice A is incorrect because hives and wheezing are symptoms of an allergic reaction, not the causes. Choice B is incorrect as B-cells are not directly involved in allergic reactions. Choice D is incorrect as keratin and collagen are not typically involved in allergic reactions, and histamine is released by mast cells.

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