Nursing Elites

1. Which of the following statements describes a chemical property of water?

• A. Water has a pH of 1.
• B. A water molecule contains 2 hydrogen atoms and 1 oxygen atom.
• C. A water molecule contains 2 oxygen atoms and 1 hydrogen atom.
• D. The chemical formula for water is HO.

Correct answer: B

Rationale: The correct answer is B because a water molecule consists of two hydrogen atoms and one oxygen atom, which is a fundamental chemical property of water. The pH of water is not a property of the water molecule itself but rather a measure of its acidity or alkalinity. Choice C is incorrect as it describes a different molecule, not water. Choice D provides an incorrect chemical formula for water, which is H2O.

2. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

3. What is the main function of the endoplasmic reticulum (ER) in the cell?

• A. To synthesize and transport proteins and lipids
• B. To package and transport proteins
• C. To break down macromolecules
• D. To store genetic material

Correct answer: A

Rationale: The endoplasmic reticulum (ER) is a network of membranes within the cell that plays a crucial role in protein and lipid synthesis. It consists of two types: rough ER, which is studded with ribosomes and involved in protein synthesis, and smooth ER, which is involved in lipid synthesis and detoxification. The ER's main function is to synthesize proteins and lipids, not just package and transport them. While the ER is involved in transporting these synthesized proteins and lipids to other parts of the cell or outside the cell, its primary role is in their synthesis. Breaking down macromolecules is primarily the function of lysosomes, which are membrane-bound organelles containing enzymes for digestion. Storing genetic material is the function of the nucleus, which houses the cell's DNA. The ER is not involved in storing genetic material.

4. 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.

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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