Nursing Elites

1. What is the energy required to break a chemical bond called?

• A. Kinetic energy
• B. Potential energy
• C. Activation energy
• D. Bond energy

Correct answer: C

Rationale: Activation energy is the energy required to break a chemical bond and initiate a chemical reaction. It is the minimum amount of energy needed to start a chemical reaction by breaking bonds in the reactant molecules. Kinetic energy (option A) is the energy of motion and is not directly related to breaking chemical bonds. Potential energy (option B) is stored energy that can be converted into other forms of energy but is not specifically about breaking chemical bonds. Bond energy (option D) refers to the energy required to break a particular chemical bond in a molecule and is not the general term for the energy needed to break any chemical bond. Activation energy is crucial in determining the rate of a chemical reaction as it affects the probability of reactant molecules colliding with sufficient energy to surpass the energy barrier and form products.

2. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

3. What is the outermost layer of the dermis, rich in collagen and elastin fibers that provide elasticity to the skin?

• A. Papillary layer
• B. Reticular layer
• C. Stratum basale
• D. Stratum corneum

Correct answer: B

Rationale: The correct answer is the reticular layer. This layer is the outermost layer of the dermis that contains abundant collagen and elastin fibers, providing elasticity to the skin. The papillary layer is located beneath the epidermis and is responsible for supplying nutrients to the epidermis, not the outermost layer. The stratum basale is the deepest layer of the epidermis where new skin cells are produced, not part of the dermis. The stratum corneum is the outermost layer of the epidermis composed of dead skin cells, not a layer of the dermis.

4. What does the innate immune system provide?

• A. Nonspecific, immediate defense against pathogens
• B. Specific, long-term immune response through memory cells
• C. Both (a) and (b)
• D. Neither (a) nor (b)

Correct answer: A

Rationale: The correct answer is A. The innate immune system provides nonspecific, immediate defense against pathogens. It is the body's first line of defense in responding to infections and does not involve memory cells or specific long-term immune responses like the adaptive immune system. Choice B is incorrect because specific, long-term immune responses through memory cells are characteristics of the adaptive immune system, not the innate immune system. Choice C is incorrect because the innate immune system does not provide specific, long-term immune responses. Choice D is incorrect because the innate immune system does provide an immediate defense against pathogens.

5. A researcher wants to investigate the relationship between family income and quality of medical care. Which statement provides the best reason to conduct this investigation?

• A. The researcher can identify affordable medical care to recommend to low-income families.
• B. The investigation can help identify individuals who are healthy so they can maintain their health.
• C. Results of this investigation may identify a group of people who do not receive quality medical care and could benefit from improved medical treatments.
• D. There is a valid reason to conduct this investigation.

Correct answer: C

Rationale: The correct answer is C because identifying a group of individuals who do not receive quality medical care can lead to targeted interventions to improve their access to better medical treatments. This investigation can help address disparities in healthcare and improve outcomes for those in need. Choice A is incorrect because the focus is on identifying those who lack quality medical care, not just affordable care. Choice B is incorrect as it misinterprets the purpose of the investigation, which is to improve medical care for those not receiving quality care, rather than maintaining the health of those already healthy. Choice D is too vague and does not provide a specific reason for conducting the investigation, unlike choice C which highlights the potential benefits of identifying individuals in need of improved medical treatments.

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