Nursing Elites

1. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

2. Which of the following is a true statement about dominance in genetics?

• A. All genes adhere to Mendel’s law of dominance.
• B. A dominant allele will always be expressed.
• C. When two dominant alleles are present, the resulting phenotype will express both traits.
• D. There are three or more alleles possible for all genes.

Correct answer: B

Rationale: In genetics, dominance refers to the relationship between two different alleles of a gene where one allele (dominant) masks the expression of another allele (recessive) in an individual's phenotype. The correct statement about dominance is that a dominant allele will always be expressed in the phenotype, even in the presence of a recessive allele. This means that if an individual has at least one dominant allele for a particular trait, that trait will be expressed. Choice A is incorrect because not all genes follow Mendel’s law of dominance; exceptions do exist. Choice C is incorrect because when two dominant alleles are present, only one will be expressed due to complete dominance. Choice D is incorrect as there can be more than three alleles for a gene, and not all genes have three or more alleles.

3. Which of the following is an example of a weak acid?

• A. Hydrochloric acid (HCl)
• B. Sulfuric acid (H2SO4)
• C. Acetic acid (CH3COOH)
• D. Nitric acid (HNO3)

Correct answer: C

Rationale: The correct answer is Acetic acid (CH3COOH) because it is a weak acid that only partially dissociates in water, resulting in a lower concentration of H+ ions compared to strong acids like hydrochloric acid (HCl), sulfuric acid (H2SO4), and nitric acid (HNO3) which completely dissociate in water. Weak acids do not fully ionize in water, leading to a lower concentration of H+ ions in solution. Hydrochloric acid, sulfuric acid, and nitric acid are strong acids that completely dissociate in water, producing a higher concentration of H+ ions. Therefore, they are not examples of weak acids.

4. What is the relationship between work and energy?

• A. Work is the rate of energy transfer
• B. Work and energy are the same concepts
• C. Work is the result of energy
• D. Work changes an object's energy from one form to another

Correct answer: A

Rationale: Work is defined as the transfer of energy from one system to another. It is the rate at which energy is transferred or converted. Therefore, work is the rate of energy transfer, making option A the correct choice. Work involves the transfer or conversion of energy, but it is not the same as energy itself, nor is it the result of energy. Additionally, work does not change an object's energy from one form to another; instead, it involves the transfer of energy.

5. Which element is used in jewelry due to its malleability and resistance to tarnish?

• A. Iron
• B. Copper
• C. Gold
• D. Silver

Correct answer: C

Rationale: Gold is the correct answer. Gold is a popular choice for jewelry due to its exceptional malleability, allowing it to be easily shaped into intricate designs. Moreover, gold is resistant to tarnish, ensuring the jewelry retains its beauty over time. Iron is not commonly used in jewelry due to its susceptibility to rusting. Copper is also not as popular in jewelry making as gold due to its tendency to tarnish and cause skin discoloration. While silver is used in jewelry, it is more prone to tarnish compared to gold, making it less ideal for long-lasting pieces.

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