Nursing Elites

1. 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.

2. What is the normal (complete) flow of blood through the heart?

• A. Right atrium → lungs → left atrium → body
• B. Left atrium → left ventricle → body → right atrium
• C. Right atrium → right ventricle → lungs → left atrium → left ventricle → aorta → body
• D. Right ventricle → left ventricle → body

Correct answer: C

Rationale: The correct flow of blood through the heart starts with the right atrium receiving deoxygenated blood from the body, followed by the right ventricle pumping blood to the lungs for oxygenation. Oxygenated blood then returns to the heart through the left atrium, then passes to the left ventricle which pumps it out to the body through the aorta. This flow ensures that blood is properly oxygenated before circulating through the body. Choice A is incorrect as the blood does not go directly from the left atrium to the body, skipping the left ventricle. Choice B is incorrect as it does not follow the correct flow sequence in the heart. Choice D is incorrect as it does not include the full pathway of blood through the heart.

3. Which term is used to classify reactions that require light energy to proceed?

• A. Combustion reactions
• B. Endothermic reactions
• C. Photochemical reactions
• D. Double displacement reactions

Correct answer: C

Rationale: Reactions that require light energy to proceed are classified as photochemical reactions. Photochemical reactions involve the absorption of light energy to initiate a chemical reaction. Combustion reactions involve the rapid combination of a substance with oxygen, endothermic reactions absorb heat from the surroundings, and double displacement reactions involve the exchange of ions between two compounds. Therefore, the correct term for reactions requiring light energy is 'photochemical reactions,' making option C the correct answer.

4. What is the role of the pancreas in digestion?

• A. To secrete bile
• B. To secrete digestive enzymes
• C. To absorb nutrients
• D. To transport waste

Correct answer: B

Rationale: The correct answer is B: 'To secrete digestive enzymes.' The pancreas plays a crucial role in digestion by secreting digestive enzymes that break down carbohydrates, proteins, and fats. This process aids in the breakdown of food into nutrients that can be absorbed by the small intestine. Choices A, C, and D are incorrect because the pancreas is not responsible for secreting bile (liver and gallbladder function), absorbing nutrients (small intestine function), or transporting waste (colon function) in the digestive system.

5. What is the cycle of infection?

• A. Reservoir host, means of exit, means of transmission, means of entrance, susceptible host
• B. Entry point, transmission, replication, exit, susceptible host
• C. Susceptible host, replication, transmission, entry, exit
• D. Transmission, replication, entry, exit, susceptible host

Correct answer: A

Rationale: The correct answer is A: 'Reservoir host, means of exit, means of transmission, means of entrance, susceptible host.' This cycle of infection involves the pathogen starting in a reservoir host, exiting through a means, being transmitted to another host, entering the new host through a means, and ultimately infecting the susceptible host. Choices B, C, and D are incorrect because they do not follow the correct sequence of events in the cycle of infection.

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