Nursing Elites

1. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

2. After water absorption in the large intestine, what waste product remains and is eventually eliminated from the body?

• A. Chyme
• B. Bolus
• C. Glucose
• D. Feces

Correct answer: D

Rationale: The correct answer is D: Feces. After the large intestine absorbs water and electrolytes from digested food material, the waste product that remains is feces. Feces consist of undigested food material, bacteria, and waste products that were not absorbed by the body. Choice A, Chyme, is incorrect as chyme is a semi-fluid mass of partially digested food that moves from the stomach to the small intestine. Choice B, Bolus, is incorrect as bolus refers to a rounded mass of food that is swallowed. Choice C, Glucose, is incorrect as glucose is a simple sugar that serves as a vital energy source for the body and is not a waste product in this context.

3. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

4. What are isotopes?

• A. Atoms of the same element with different numbers of protons.
• B. Atoms of the same element with different numbers of neutrons.
• C. Atoms of different elements with the same number of protons.
• D. Atoms of different elements with the same number of electrons.

Correct answer: B

Rationale: Isotopes are atoms of the same element with different numbers of neutrons. While isotopes share the same number of protons, which determines the element, they differ in the number of neutrons. This variance in neutron count results in isotopes having different atomic masses. Choice A is incorrect because isotopes have the same number of protons (same element) but differ in the number of neutrons. Choice C is incorrect as it describes atoms of different elements, not isotopes of the same element. Choice D is also incorrect because isotopes can have different numbers of electrons, but what defines isotopes is the variation in neutron numbers.

5. How can the periodic table be used to predict the charge of an ion formed by an element?

• A. Look for elements with similar atomic weights.
• B. Identify the group number, which corresponds to the typical ionic charge.
• C. Calculate the difference between protons and electrons.
• D. Analyze the element's position within the period.

Correct answer: B

Rationale: The group number of an element on the periodic table corresponds to the number of valence electrons it has. Elements in the same group tend to form ions with the same charge. For example, elements in Group 1 typically form ions with a +1 charge, while elements in Group 17 typically form ions with a -1 charge. Therefore, by identifying the group number of an element, one can predict the typical ionic charge it will form. Choices A, C, and D are incorrect because predicting the charge of an ion is mainly based on the element's position in the periodic table, particularly the group number, which indicates the number of valence electrons and the typical ionic charge it may form.

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