Nursing Elites

1. What happens to the internal energy of a system when it performs work on its surroundings?

• A. It increases.
• B. It decreases.
• C. It remains the same.
• D. Insufficient information.

Correct answer: B

Rationale: When a system performs work on its surroundings, it loses energy in the form of work done. This results in a decrease in the internal energy of the system. Work done by the system is considered as negative work, leading to a decrease in internal energy. Therefore, the correct answer is that the internal energy decreases when a system performs work on its surroundings. Choice A is incorrect as the internal energy decreases, not increases. Choice C is incorrect because the internal energy changes due to the work done. Choice D is incorrect because the information provided is sufficient to determine the change in internal energy.

2. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

3. Which of the following distinguishes the isotopes of an element?

• A. Isotopes are atoms of the same element that have different ionic charges.
• B. Isotopes are atoms of elements within the same group on the periodic table.
• C. Isotopes are atoms of the same element that have different numbers of neutrons.
• D. Isotopes are atoms of the same element with different electron configurations.

Correct answer: C

Rationale: Isotopes are defined as atoms of the same element that have the same number of protons in their nucleus but different numbers of neutrons. This leads to variations in atomic mass for isotopes of an element. The different number of neutrons in isotopes results in differences in their atomic mass and properties while still belonging to the same element. Choice A is incorrect because isotopes do not have different ionic charges, they have the same chemical properties. Choice B is incorrect because isotopes are not atoms of elements within the same group on the periodic table; they are variants of the same element. Choice D is incorrect because isotopes of an element have the same electron configuration, differing only in the number of neutrons in the nucleus.

4. Where are most of the body's immune cells located?

• A. Blood
• B. Brain
• C. Skin
• D. Large intestine

Correct answer: A

Rationale: - The majority of the body's immune cells are located in the blood. Immune cells, such as white blood cells (leukocytes), circulate throughout the body via the bloodstream to detect and fight off infections and foreign invaders. - While immune cells are also present in other parts of the body like the lymph nodes, spleen, and bone marrow, the blood serves as a primary conduit for immune cells to travel to different tissues and organs to carry out their functions. - The brain (option B) is protected by the blood-brain barrier, which limits the entry of immune cells into the brain to prevent inflammation and damage. - The skin (option C) contains immune cells like Langerhans cells that help protect against pathogens, but the largest concentration of immune cells is found in the blood. - The large intestine (option D) also houses a significant amount of immune cells due to its role in interacting with the external environment through the gut-associated lymphoid tissue, but the primary location for most of the body's immune cells is the blood.

5. What is the scientific term for the study of genes and their role in disease?

• A. Molecular biology
• B. Biochemistry
• C. Evolutionary biology
• D. Genomic medicine

Correct answer: D

Rationale: Genomic medicine is the scientific discipline that specifically focuses on the study of genes and their involvement in disease processes. It seeks to understand how variations in an individual's genes can influence their predisposition to certain diseases or affect their response to treatment. This field plays a crucial role in personalized medicine by utilizing genetic information to tailor healthcare decisions and interventions to individual patients. Molecular biology, biochemistry, and evolutionary biology, while related to genetics in various ways, do not have the primary focus on the role of genes in disease as genomic medicine does.

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