Nursing Elites

1. Which of the following lists the structures found beneath the rib in descending order?

• A. Nerve → Artery → Vein
• B. Vein → Nerve → Artery
• C. Vein → Artery → Nerve
• D. Artery → Nerve → Vein

Correct answer: C

Rationale: The correct order of structures found beneath the rib in descending order is Vein → Artery → Nerve. This sequence is important to remember for medical procedures like inserting a chest tube to ensure precision and avoid complications. Choice A is incorrect because the nerve is not typically the structure closest to the rib. Choice B is incorrect as the vein is usually closer to the rib than the nerve. Choice D is incorrect as the artery is usually closer to the rib than the nerve.

2. 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.

3. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

4. Identify the element with the electron configuration: 1s2 2s2 2p6 3s2 3p6. To which group and period does this element belong?

• A. Group 16, Period 3
• B. Group 14, Period 3
• C. Group 18, Period 3
• D. Group 17, Period 2

Correct answer: C

Rationale: The given electron configuration matches that of Argon, an element found in Group 18 of the periodic table. This element is in the third period, as indicated by the highest energy level (n=3) where electrons are present. Therefore, the correct answer is Group 18, Period 3. Choice A (Group 16, Period 3) corresponds to sulfur, not the given electron configuration. Choice B (Group 14, Period 3) corresponds to silicon, not the given electron configuration. Choice D (Group 17, Period 2) corresponds to chlorine, which is in Period 3 but not in Group 18, making it incorrect for the given electron configuration.

5. What are the building blocks of proteins?

• A. Sugars
• B. Fatty acids
• C. Amino acids
• D. Nucleotides

Correct answer: C

Rationale: Proteins are macromolecules made up of long chains of amino acids. Amino acids are the building blocks of proteins and are linked together through peptide bonds to form polypeptide chains, which then fold into specific three-dimensional structures to carry out various functions in the body. Sugars (choice A) are the building blocks of carbohydrates, fatty acids (choice B) are the building blocks of lipids, and nucleotides (choice D) are the building blocks of nucleic acids like DNA and RNA. Therefore, the correct answer is amino acids (choice C), as they are specifically responsible for protein synthesis.

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