Nursing Elites

1. What is the term for a substance that can act as both a proton donor and a proton acceptor?

• A. Acid
• B. Base
• C. Amphiprotic
• D. Neutral

Correct answer: C

Rationale: Amphiprotic substances are those that can both donate and accept protons. They possess characteristics of both acids and bases, making them capable of acting as proton donors and proton acceptors. Choices A and B represent substances that are specific to either donating or accepting protons. Choice D does not describe a substance's ability to donate or accept protons since neutrality does not inherently involve proton donation or acceptance.

2. Which of the following is NOT one of the major types of bones in the human body?

• A. Dense bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The correct answer is A: 'Dense bone'. Dense bone is not a classification of bone types in the human body. The major types of bones include long, short, flat, and irregular bones. Long bones, like the femur, are characterized by being longer than they are wide. Short bones, such as those in the wrist (carpals) and ankle (tarsals), are generally cube-shaped. Flat bones, like the skull or scapula, are thin and provide protection. Irregular bones, such as the vertebrae, have complex shapes that do not fit into the other categories.

3. Isotopes are variants of a single element that differ in:

• A. Having the same number of protons but varying numbers of neutrons
• B. Having the same number of neutrons but varying numbers of protons
• C. Having the same mass but different atomic numbers
• D. None of the above

Correct answer: A

Rationale: Isotopes are variants of a single element that have the same number of protons, the defining characteristic of an element. They differ in the number of neutrons they possess, leading to isotopes having different atomic masses while retaining the same chemical properties. Choice B is incorrect because isotopes have the same number of neutrons and differ in the number of protons. Choice C is incorrect because isotopes have different masses due to varying numbers of neutrons, not different atomic numbers. Choice D is incorrect as isotopes do differ in the number of neutrons they possess.

4. Which of the following is an example of aseptic technique?

• A. Washing hands with soap and water before surgery
• B. Coughing into your elbow
• C. Sharing a stethoscope without cleaning
• D. Leaving a wound dressing exposed

Correct answer: A

Rationale: Aseptic technique refers to practices that help prevent the introduction of harmful microorganisms into a sterile environment. Washing hands with soap and water before surgery is an essential component of aseptic technique as it helps reduce the number of microorganisms on the hands, decreasing the risk of introducing pathogens into the surgical site. Coughing into your elbow is a good hygiene practice to prevent the spread of respiratory infections but is not specifically related to aseptic technique. Sharing a stethoscope without cleaning can introduce microorganisms from one patient to another, compromising aseptic conditions. Leaving a wound dressing exposed can lead to contamination and infection, which is contrary to aseptic technique.

5. At which of the following ages would ossification most likely take place to replace cartilage at the growth plate?

• A. 5
• B. 18
• C. 42
• D. 91

Correct answer: B

Rationale: Ossification, the process where cartilage is replaced by bone, typically occurs during adolescence, around the age of 18. This is when the growth plates in the bones close, and the bones stop growing in length, leading to the replacement of cartilage with bone tissue. Choice A (5) is incorrect because ossification primarily occurs during adolescence, not early childhood. Choice C (42) is incorrect as ossification is completed well before this age, usually during the late teens or early twenties. Choice D (91) is incorrect as ossification is a process that occurs earlier in life, typically during adolescence, and is not a process that occurs in advanced age.

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