Nursing Elites

1. According to the Cahn-Ingold-Prelog (CIP) ranking system, which functional group has the highest priority?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: In the Cahn-Ingold-Prelog (CIP) ranking system, functional groups are prioritized based on the atomic number of the atoms directly attached to the functional group. Carboxylic acid (COOH) holds the highest priority as the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers compared to carbon, hydrogen, or nitrogen. The higher the atomic number of the attached atoms, the higher the priority of the functional group in the CIP ranking system. Therefore, choices A, B, and D are incorrect as they have lower atomic numbers in the atoms directly attached to them, making them lower in priority according to the CIP system.

2. What is the process of a fertilized egg attaching itself to the uterine lining called?

• A. Ovulation
• B. Implantation
• C. Parturition
• D. Menstruation

Correct answer: B

Rationale: Implantation is the correct answer. It is the process in which a fertilized egg attaches itself to the uterine lining, where it will develop into an embryo and eventually a fetus. Ovulation, on the other hand, is the release of an egg from the ovary. Parturition refers to the process of giving birth, while menstruation is the shedding of the uterine lining if fertilization does not occur. Therefore, the process described in the question specifically pertains to implantation.

3. 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.

4. What cells compose the epidermis?

• A. Keratinocytes
• B. Epithelial cells
• C. Fibroblasts
• D. Melanocytes

Correct answer: A

Rationale: The correct answer is A - Keratinocytes. The epidermis is primarily composed of keratinocytes, which are a type of epithelial cell. Keratinocytes synthesize the protein keratin, providing protection against physical damage and water loss. While epithelial cells are correct, specifying keratinocytes is more precise. Fibroblasts are not the main cell type in the epidermis; they are found in the dermis, where they produce collagen and other extracellular matrix components. Melanocytes are responsible for producing melanin pigment in the skin and are also present in the epidermis, but they are not the predominant cell type like keratinocytes.

5. Where is oxygen exchanged between blood and tissues?

• A. capillaries
• B. veins
• C. ventricles
• D. arteries

Correct answer: A

Rationale: Oxygen is exchanged between blood and tissues primarily at the capillaries. Capillaries are the smallest blood vessels where the exchange of oxygen, nutrients, and waste products occurs between the blood and the tissues. This exchange process is crucial for delivering oxygen to the body's cells and eliminating carbon dioxide waste. Veins carry blood back to the heart, arteries carry blood away from the heart, and ventricles are the lower chambers of the heart responsible for pumping blood. Therefore, capillaries are the correct answer for where oxygen is exchanged between blood and tissues.

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