Nursing Elites

1. Why are elements in Group 18 (Noble gases) generally unreactive?

• A. They have high atomic masses
• B. They lack valence electrons
• C. Their outermost electron shells are completely filled
• D. They exist as single atoms, not molecules

Correct answer: C

Rationale: Elements in Group 18 (Noble gases) are generally unreactive because their outermost electron shells are completely filled. This results in high stability and low reactivity since they have achieved a full valence shell configuration, making them less likely to gain, lose, or share electrons with other atoms. The full valence shell configuration leads to a minimal tendency for these elements to form chemical bonds, hence exhibiting low reactivity. Choices A, B, and D are incorrect because high atomic masses, lack of valence electrons, and existing as single atoms do not directly contribute to the unreactivity of noble gases. It is the full valence shell configuration that is the primary reason for their inert nature.

2. Which of the following quantities do catalysts alter to control the rate of a chemical reaction?

• A. Substrate energy
• B. Activation energy
• C. Inhibitor energy
• D. Promoter energy

Correct answer: B

Rationale: The correct answer is B: Activation energy. Catalysts function by reducing the activation energy needed for a chemical reaction to proceed. By lowering the activation energy, catalysts facilitate the reaction without being consumed themselves. Substrate energy, inhibitors, and promoters are not directly altered by catalysts in the same way activation energy is. Substrate energy refers to the energy of the reactants, which is not altered by catalysts. Inhibitors increase the activation energy required for a reaction, while promoters enhance the effectiveness of a catalyst but do not represent a quantity altered by catalysts.

3. Which of the following statements correctly describes the function of a physiological structure?

• A. The trachea connects the throat and the stomach.
• B. The esophagus joins the larynx with the lungs.
• C. The diaphragm controls the height of the thoracic cavity.
• D. The epiglottis covers the trachea during swallowing.

Correct answer: D

Rationale: The epiglottis is a flap of tissue that covers the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food into the esophagus, ensuring proper passage into the digestive system and avoiding potential choking or aspiration into the lungs. Choices A, B, and C are incorrect because the trachea connects the larynx to the bronchi, the esophagus connects the throat to the stomach, and the diaphragm is a muscle that plays a vital role in breathing by separating the thoracic and abdominal cavities, aiding in respiration.

4. Which of the following is an example of an unsaturated fatty acid?

• A. Stearic acid
• B. Palmitic acid
• C. Oleic acid
• D. Butyric acid

Correct answer: C

Rationale: Oleic acid is an example of an unsaturated fatty acid because it contains one or more double bonds in its hydrocarbon chain, leading to kinks in the chain structure. This unsaturation gives it a lower melting point compared to saturated fatty acids. Stearic acid (A), Palmitic acid (B), and Butyric acid (D) are examples of saturated fatty acids as they do not contain any double bonds in their hydrocarbon chains, leading to a straight structure and higher melting points.

5. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

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