Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

2. Which property remains constant despite possible changes to the element?

• A. Atomic number
• B. Number of electrons
• C. Atomic mass
• D. Isotopic form

Correct answer: A

Rationale: The correct answer is 'Atomic number' (A). The atomic number of an element remains constant as it defines the number of protons in the nucleus, which does not change despite various chemical reactions or physical processes affecting the element. The number of protons in the nucleus determines the identity of the element, and this fundamental property remains unchanged even if the element undergoes chemical reactions, forms ions, or changes its physical state. Choices B, C, and D are incorrect because the number of electrons (B) can change in chemical reactions, atomic mass (C) can vary with isotopes, and isotopic form (D) refers to variations in the number of neutrons in the nucleus, which can result in different isotopes of an element.

3. Which of the following conditions is characterized by a wasting or decrease in muscle mass?

• A. Hypertrophy
• B. Atrophy
• C. Spasticity
• D. Myopathy

Correct answer: B

Rationale: Atrophy is the correct answer as it is characterized by a wasting or decrease in muscle mass. Hypertrophy, on the other hand, refers to an increase in muscle size. Spasticity is associated with increased muscle tone due to continuous contraction of muscles. Myopathy, on the other hand, is a broad term used to describe various muscle diseases affecting muscle tissue, which may or may not involve muscle wasting.

4. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Kwashiorkor is a severe acute malnutrition condition resulting from insufficient dietary protein intake. It is characterized by symptoms such as edema, skin lesions, an enlarged liver with fatty infiltrates, and notably, muscle wasting. Muscle wasting occurs as the body breaks down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is associated with vitamin A deficiency, scurvy (option C) results from a lack of vitamin C, and rickets (option D) is caused by a deficiency in vitamin D, calcium, or phosphate.

5. Which of the following describes how atomic radius varies across the periodic table?

• A. Atomic radius increases from top to bottom and left to right on the periodic table.
• B. Atomic radius increases from top to bottom and right to left on the periodic table.
• C. Atomic radius increases from top to bottom and toward the halogens on the periodic table.
• D. Atomic radius increases from top to bottom and toward the noble gases on the periodic table.

Correct answer: A

Rationale: Atomic radius tends to increase from top to bottom and left to right on the periodic table. This is because as you move down a group (top to bottom), new energy levels are added, increasing the distance of the outer electrons from the nucleus and thus increasing the size of the atom. On the other hand, as you move from left to right across a period, the number of protons and electrons increases, leading to a stronger nuclear charge that attracts the electrons closer to the nucleus, resulting in smaller atomic radii. Choice B is incorrect as atomic radius does not increase from right to left. Choices C and D are incorrect as they incorrectly associate the trend with specific groups of elements (halogens and noble gases) rather than the general trend observed on the periodic table.

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