Nursing Elites

1. What are the moon-shaped white structures at the base of fingernails called?

• A. Lunulae
• B. Cuticle
• C. Hyponychium
• D. Matrix

Correct answer: A

Rationale: The correct answer is A: Lunulae. The moon-shaped white structures at the base of fingernails are known as lunulae. They are most prominent on the thumb and are situated at the base of the nail matrix. The lunula is the visible part of the nail matrix, which is responsible for generating new nail cells. Choice B, Cuticle, is incorrect as it refers to the thin layer of skin at the base of the nail plate. Choice C, Hyponychium, is incorrect as it is the skin that lies beneath the free edge of the nail. Choice D, Matrix, is incorrect as it is the area where the nail is formed, located under the cuticle.

2. What describes a cell’s reaction to being placed in a hypertonic solution?

• A. The cell will shrink as water is pulled out of the cell to equalize the concentrations inside and outside of the cell.
• B. The cell will swell as water is pulled into the cell to equalize the concentrations inside and outside of the cell.
• C. The cell will remain the same size since the concentrations inside and outside the cell are equal to begin with.
• D. The pH inside the cell will drop in order to equalize the pH inside and outside the cell.

Correct answer: A

Rationale: A cell placed in a hypertonic solution has a higher solute concentration outside the cell compared to inside. This creates a concentration gradient that causes water to move out of the cell through osmosis to equalize the concentrations on both sides. As a result, the cell will shrink or undergo plasmolysis, as water is pulled out of the cell. Choice B is incorrect because a hypertonic solution causes water to move out of the cell, leading to shrinkage rather than swelling. Choice C is incorrect as a hypertonic solution results in a concentration gradient that leads to water leaving the cell, causing it to shrink. Choice D is incorrect because pH is not directly affected by being placed in a hypertonic solution; the change in solute concentration primarily impacts water movement.

3. Which of the following substances is NOT typically found in healthy urine?

• A. Urea
• B. Glucose
• C. Creatinine
• D. Electrolytes

Correct answer: B

Rationale: Glucose is not typically found in healthy urine because the kidneys usually filter glucose from the blood and reabsorb it back into the bloodstream. The presence of glucose in urine, known as glucosuria, is usually indicative of diabetes or other medical conditions affecting glucose regulation. On the other hand, urea, creatinine, and electrolytes are commonly present in healthy urine as byproducts of metabolism and electrolyte balance. Urea is a waste product of protein metabolism, creatinine is a waste product of muscle metabolism, and electrolytes are essential for various physiological functions in the body. Therefore, choices A, C, and D are typically found in healthy urine, making them incorrect answers.

4. Where does fertilization typically occur in the female reproductive system?

• A. uterus
• B. fallopian tube
• C. endometrium
• D. ovary

Correct answer: B

Rationale: Fertilization typically occurs in the fallopian tube, specifically in the ampulla, which is the widest part of the tube. After ovulation, the released egg travels through the fallopian tube where it may encounter sperm for fertilization to take place. The fallopian tube provides the ideal environment for fertilization due to the presence of cilia that help move the egg and sperm towards each other. The uterus is where the fertilized egg will implant and develop into a fetus, not where fertilization occurs. The endometrium is the lining of the uterus that thickens to support a potential pregnancy but is not the site of fertilization. The ovary releases the egg during ovulation but is not where fertilization occurs.

5. How does the stability of an atom's nucleus influence its radioactive decay?

• A. Stable nuclei never undergo radioactive decay.
• B. Unstable nuclei are more likely to decay through various processes.
• C. Decay releases energy, making stable nuclei more prone to it.
• D. The element's position on the periodic table determines its decay rate.

Correct answer: B

Rationale: Unstable nuclei are more likely to decay through various processes. The stability of an atom's nucleus is a crucial factor in determining whether it will undergo radioactive decay. Unstable nuclei have an excess of either protons or neutrons, causing an imbalance in the nucleus. To achieve a more stable configuration, these nuclei will undergo radioactive decay by emitting particles or energy. On the contrary, stable nuclei are less likely to undergo radioactive decay as they possess a balanced number of protons and neutrons. Choice A is incorrect because stable nuclei can still undergo radioactive decay, albeit less frequently. Choice C is incorrect as decay does not make stable nuclei more prone to it; rather, it stabilizes them. Choice D is incorrect because an element's decay rate is primarily determined by the nucleus's stability, not its position on the periodic table.

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