Nursing Elites

1. What is the Aufbau principle?

• A. The principle that electrons fill orbitals in order of increasing energy.
• B. The principle that electrons cannot occupy the same orbital with the same spin.
• C. The principle that the maximum number of electrons in an orbital is 2n^2, where n is the energy level of the orbital.
• D. The principle that the attractive force between an electron and the nucleus is inversely proportional to the distance between them.

Correct answer: A

Rationale: The Aufbau principle states that electrons fill orbitals in order of increasing energy. This principle helps to explain the electron configuration of atoms and how electrons are distributed within the energy levels and sublevels of an atom. By following the Aufbau principle, one can determine the electron configuration of an atom by sequentially adding electrons to orbitals in order of their increasing energy levels, starting with the lowest energy level. Choice B is incorrect as it describes the Pauli Exclusion Principle, which states that no two electrons in an atom can have the same four quantum numbers. Choice C is incorrect as it refers to the formula for calculating the maximum number of electrons that can occupy an energy level. Choice D is incorrect as it relates to Coulomb's law, which describes the electrostatic interaction between charged particles.

2. Which of the following sentences uses the word 'smart' with a negative connotation, rather than a positive connotation or simply the word's denotation?

• A. Eliot's teacher said he was not quite gifted, but too smart for a general class.
• B. Eliot was smart to have studied the day before the test; he got a good grade.
• C. Eliot was identified by his teacher as one of the smart students in her classes.
• D. Eliot got into trouble when he gave a smart answer to his teacher's question.

Correct answer: D

Rationale: In sentence D, the word 'smart' is used with a negative connotation as it describes Eliot getting into trouble for giving a smart answer to his teacher's question. This implies that being smart in this context led to a negative consequence. Choices A, B, and C use 'smart' in a positive or neutral light, highlighting intelligence or wise decisions without any negative implications.

3. 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.

4. Which types of molecules can move through a cell membrane by passive transport?

• A. Complex sugars
• B. Non-lipid soluble molecules
• C. Oxygen
• D. Molecules moving from areas of low concentration to areas of high concentration

Correct answer: C

Rationale: The correct answer is C: Oxygen. Small, non-polar molecules like oxygen can easily pass through the cell membrane by passive transport as they move down their concentration gradient without the need for energy input. Complex sugars (choice A) are typically too large to pass through the membrane by passive transport. Non-lipid soluble molecules (choice B) may require active transport mechanisms. Choice D describes active transport, where molecules move against their concentration gradient, requiring energy input.

5. Which gland produces the hormone responsible for the 'fight-or-flight' response in stressful situations?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The hormone responsible for the 'fight-or-flight' response in stressful situations is produced by the adrenal gland. This hormone is called adrenaline (epinephrine) and is released in response to stress, preparing the body to either fight the stressor or flee from it. The other choices are incorrect because the thyroid gland primarily produces hormones that regulate metabolism, the pituitary gland produces various hormones that control other endocrine glands, and the pancreas produces insulin and glucagon to regulate blood sugar levels.

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