Nursing Elites

1. Which statement is TRUE about valence electrons?

• A. They are located in the innermost electron shell.
• B. They have the highest binding energy to the nucleus.
• C. They are most likely to participate in chemical bonding.
• D. They have no influence on the element's chemical properties.

Correct answer: C

Rationale: Valence electrons are the outermost electrons in an atom's electron cloud and are crucial in forming chemical bonds with other atoms. These electrons determine the reactivity and chemical properties of an element, making option C the correct statement. Option A is incorrect as valence electrons are found in the outer shell, not the innermost shell. Option B is incorrect because valence electrons have lower binding energy compared to inner electrons. Option D is incorrect since valence electrons play a significant role in an element's chemical behavior.

2. A child complains of heavy breathing even when relaxing. They are an otherwise healthy child with no history of respiratory problems. What might be the issue?

• A. Asthma
• B. Blood clot
• C. Hyperventilation
• D. Exercising too hard

Correct answer: C

Rationale: In this scenario, where a child complains of heavy breathing even when relaxing and has no history of respiratory problems, the most likely issue is hyperventilation. Hyperventilation is an abnormal breathing pattern where a person breathes in excess of the body's requirements. It can be triggered by stress, anxiety, panic attacks, or lower-than-normal carbon dioxide levels in the blood. Unlike asthma, a blood clot, or exercising too hard, hyperventilation fits the symptoms described and is more common in individuals without a history of respiratory problems.

3. A substance is only considered acidic if it has a pH less than what?

• A. 12
• B. 9
• C. 7
• D. 4

Correct answer: C

Rationale: A substance is considered acidic if its pH is less than 7. pH values below 7 indicate acidity, while pH values above 7 indicate alkalinity or basicity. Substances with a pH less than 7 are categorized as acidic, not above it. Therefore, a substance is classified as acidic if its pH is less than 7, making choice C the correct answer. Choices A, B, and D are incorrect because a pH of 12, 9, and 4, respectively, are all above 7, and therefore not indicative of acidity.

4. What is the primary function of the large intestine?

• A. To digest food
• B. To absorb water and form feces
• C. To absorb proteins
• D. To regulate blood pressure

Correct answer: B

Rationale: The correct answer is B. The primary function of the large intestine is to absorb water from digested food and form feces for elimination. It does not primarily digest food, absorb proteins, or regulate blood pressure. Choice A is incorrect because the large intestine does not digest food but rather absorbs nutrients and water. Choice C is incorrect as the absorption of proteins primarily occurs in the small intestine. Choice D is incorrect as the regulation of blood pressure is not a primary function of the large intestine.

5. A pediatrician notes that an infant's cartilage is disappearing and being replaced by bone. What process has the doctor observed?

• A. Mineralization
• B. Ossification
• C. Osteoporosis
• D. Calcification

Correct answer: B

Rationale: The doctor has observed the process of ossification. Ossification is the natural process where cartilage in the body is replaced by bone. This process takes place during fetal development, growth, and bone fracture healing. Ossification involves the formation of bone tissue by depositing minerals like calcium and phosphorus within the cartilage matrix, leading to the development of a bone structure. Choice A, mineralization, refers to the process of forming mineral deposits in tissues, but it does not involve the replacement of cartilage by bone. Choice C, osteoporosis, is a condition characterized by bone density loss and increased fragility, not the natural process of cartilage replacement by bone. Choice D, calcification, is the process of deposition of calcium salts in various tissues, but it does not specifically involve the replacement of cartilage by bone as in ossification.

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