Nursing Elites

1. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

2. What is the relationship between the speed of a wave, its frequency, and wavelength in a given medium?

• A. Speed = Frequency × Wavelength
• B. Speed = Frequency ÷ Wavelength
• C. Speed = Frequency + Wavelength
• D. Speed = Frequency - Wavelength

Correct answer: A

Rationale: The speed of a wave in a given medium is determined by the product of its frequency and wavelength. This relationship is described by the formula: Speed = Frequency × Wavelength. When a wave travels through a medium, the speed at which it propagates is directly proportional to both its frequency and wavelength. Therefore, to calculate the speed of the wave, you multiply the frequency of the wave by its wavelength. Choices B, C, and D are incorrect because speed is not determined by division, addition, or subtraction of frequency and wavelength; instead, it is determined by their multiplication in the given medium.

3. Which of the following is the main organ responsible for producing antibodies?

• A. Thymus gland
• B. Spleen
• C. Bone marrow
• D. Lymph nodes

Correct answer: C

Rationale: Antibodies are proteins produced by specialized white blood cells called B lymphocytes (B cells). These B cells mature in the bone marrow, where they undergo a process of differentiation and maturation to become plasma cells that secrete antibodies. The bone marrow is the primary site for the production of B cells and antibodies in the immune system. The thymus gland is responsible for the maturation of T lymphocytes (T cells), not antibody production. The spleen and lymph nodes play roles in filtering and trapping pathogens but are not the main organs responsible for producing antibodies.

4. What is the Aufbau principle?

• A. The principle that electrons fill orbitals in order of increasing energy.
• B. The principle that electrons cannot occupy the same orbital with the same spin.
• C. The principle that the maximum number of electrons in an orbital is 2n^2, where n is the energy level of the orbital.
• D. The principle that the attractive force between an electron and the nucleus is inversely proportional to the distance between them.

Correct answer: A

Rationale: The Aufbau principle states that electrons fill orbitals in order of increasing energy. This principle helps to explain the electron configuration of atoms and how electrons are distributed within the energy levels and sublevels of an atom. By following the Aufbau principle, one can determine the electron configuration of an atom by sequentially adding electrons to orbitals in order of their increasing energy levels, starting with the lowest energy level. Choice B is incorrect as it describes the Pauli Exclusion Principle, which states that no two electrons in an atom can have the same four quantum numbers. Choice C is incorrect as it refers to the formula for calculating the maximum number of electrons that can occupy an energy level. Choice D is incorrect as it relates to Coulomb's law, which describes the electrostatic interaction between charged particles.

5. What is the main function of valence electrons in chemical bonding?

• A. They are responsible for holding the nucleus together.
• B. They are involved in forming bonds with other atoms.
• C. They determine the element's physical properties.
• D. They play no role in chemical reactions.

Correct answer: B

Rationale: Valence electrons are the electrons in the outermost energy level of an atom. These electrons are involved in forming bonds with other atoms, which is crucial for chemical bonding. By participating in bonding, valence electrons determine an atom's ability to form compounds and engage in chemical reactions. Therefore, the primary function of valence electrons is to facilitate the formation of bonds between atoms, making option B the correct answer. Choices A, C, and D are incorrect because valence electrons primarily influence chemical bonding by participating in the formation of bonds between atoms, rather than holding the nucleus together, determining physical properties, or having no role in chemical reactions.

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