Key Takeaways

  • An atom consists of protons (positive, in nucleus), neutrons (neutral, in nucleus), and electrons (negative, in orbitals)
  • The atomic number equals the number of protons and defines the element; the mass number equals protons + neutrons
  • Electrons are arranged in energy levels (shells): the first holds 2, the second holds 8, the third holds 18
  • Valence electrons (outermost shell) determine an element's chemical behavior and bonding
  • The periodic table is organized by atomic number, with periods (rows) and groups (columns)
  • Ionic bonds form when electrons are transferred between atoms (metal + nonmetal), creating ions
  • Covalent bonds form when electrons are shared between atoms (nonmetal + nonmetal)
  • Hydrogen bonds are weak intermolecular forces important in water properties and DNA structure
Last updated: February 2026

Atomic Structure & Chemical Bonding

Chemistry provides the foundation for understanding how drugs work, how the body processes nutrients, and why certain substances are toxic. The HESI A2 Chemistry section covers fundamental chemical concepts.


Structure of an Atom

Subatomic ParticleChargeLocationMass
ProtonPositive (+)Nucleus~1 amu
NeutronNeutral (0)Nucleus~1 amu
ElectronNegative (-)Orbitals (electron cloud)~0 amu (negligible)
  • Atomic number = number of protons (defines the element)
  • Mass number = protons + neutrons
  • Isotopes = atoms of the same element with different numbers of neutrons
  • In a neutral atom, the number of protons equals the number of electrons

Electron Configuration

Electrons are arranged in energy levels (shells) around the nucleus:

ShellMaximum ElectronsFormula
1st shell (closest to nucleus)22n^2 = 2(1)^2 = 2
2nd shell82(2)^2 = 8
3rd shell182(3)^2 = 18
4th shell322(4)^2 = 32

Valence electrons are the electrons in the outermost shell. They determine an element's chemical properties and how it bonds with other atoms.

  • Noble gases (Group 18) have full outer shells and are chemically inert
  • Metals tend to lose electrons → form positive ions (cations)
  • Nonmetals tend to gain electrons → form negative ions (anions)
  • The octet rule: Atoms tend to gain, lose, or share electrons to achieve 8 valence electrons (stable configuration)

The Periodic Table

The periodic table organizes elements by increasing atomic number:

FeatureDescription
PeriodsHorizontal rows (7 total); indicate the number of electron shells
Groups/FamiliesVertical columns (18 total); elements in same group have similar properties
MetalsLeft side; good conductors, malleable, lose electrons
NonmetalsRight side; poor conductors, gain electrons
MetalloidsAlong the staircase line; have properties of both metals and nonmetals

Key Groups:

  • Group 1: Alkali metals (Li, Na, K) — 1 valence electron, highly reactive
  • Group 2: Alkaline earth metals (Mg, Ca) — 2 valence electrons
  • Group 17: Halogens (F, Cl, Br, I) — 7 valence electrons, very reactive
  • Group 18: Noble gases (He, Ne, Ar) — full outer shell, inert

Chemical Bonding

Ionic Bonds

  • Formed when electrons are transferred from one atom to another
  • Typically between a metal and a nonmetal
  • The metal loses electrons → becomes a cation (+)
  • The nonmetal gains electrons → becomes an anion (-)
  • Example: NaCl (sodium chloride) — Na loses 1 electron, Cl gains 1 electron

Properties of ionic compounds:

  • High melting and boiling points
  • Conduct electricity when dissolved in water
  • Form crystal lattice structures
  • Usually solid at room temperature

Covalent Bonds

  • Formed when electrons are shared between atoms
  • Typically between two nonmetals
  • Nonpolar covalent: Equal sharing (same or similar electronegativity) — e.g., O2, N2
  • Polar covalent: Unequal sharing (different electronegativity) — e.g., H2O

Properties of covalent compounds:

  • Lower melting and boiling points than ionic compounds
  • Usually do not conduct electricity
  • Can be gases, liquids, or solids at room temperature

Hydrogen Bonds

  • Weak intermolecular forces (not true chemical bonds)
  • Occur between a hydrogen atom bonded to F, O, or N and another F, O, or N atom
  • Critical in water properties, DNA structure, and protein folding
  • Individually weak but collectively strong in large numbers

Electronegativity and Polarity

Electronegativity is a measure of how strongly an atom attracts shared electrons:

  • Fluorine has the highest electronegativity (4.0 on the Pauling scale)
  • Electronegativity generally increases across a period (left to right) and decreases down a group
  • Polar molecules have an uneven distribution of charge due to differences in electronegativity
  • Nonpolar molecules have an even distribution of charge

Water (H2O) is polar:

  • Oxygen is more electronegative than hydrogen
  • Electrons spend more time near oxygen → partial negative charge (delta-)
  • Hydrogen atoms have partial positive charge (delta+)
  • This polarity gives water its unique properties: cohesion, adhesion, surface tension, high specific heat, universal solvent

States of Matter

StateParticle ArrangementVolume/ShapeExamples
SolidFixed, tightly packedDefinite volume and shapeIce, NaCl crystals
LiquidClose but can moveDefinite volume, takes shape of containerWater, blood
GasFar apart, fast-movingNo definite volume or shapeOxygen, CO2
PlasmaIonized gasNo definite volume or shapeLightning, stars

Phase Changes:

  • Melting: Solid → Liquid (absorbs energy)
  • Freezing: Liquid → Solid (releases energy)
  • Evaporation/Boiling: Liquid → Gas (absorbs energy)
  • Condensation: Gas → Liquid (releases energy)
  • Sublimation: Solid → Gas (dry ice)
  • Deposition: Gas → Solid

Mixtures vs. Compounds

FeatureMixtureCompound
CompositionPhysically combinedChemically bonded
SeparationBy physical methods (filtration, evaporation)By chemical methods only
PropertiesRetain individual propertiesNew properties different from components
RatioVariable proportionsFixed proportions
ExamplesSaltwater, blood, airWater (H2O), NaCl, glucose

Homogeneous mixture = uniform throughout (solutions like saline) Heterogeneous mixture = non-uniform composition (blood, salad dressing)


Acids, Bases & pH in Biological Context

Understanding pH is critical for interpreting lab values and understanding body chemistry:

Body FluidNormal pHClinical Significance
Blood7.35-7.45Slightly alkaline; must stay in narrow range
Stomach acid1.5-3.5Highly acidic; breaks down food, kills bacteria
Urine4.5-8.0Wide range; varies with diet and hydration
Saliva6.2-7.6Near neutral; contains bicarbonate buffer
Pancreatic juice7.1-8.2Alkaline; neutralizes stomach acid in duodenum

Acidosis (blood pH < 7.35) and alkalosis (blood pH > 7.45) are both dangerous conditions:

  • Respiratory acidosis: Too much CO2 retained (hypoventilation)
  • Respiratory alkalosis: Too much CO2 exhaled (hyperventilation)
  • Metabolic acidosis: Too many acids or loss of bicarbonate (diabetic ketoacidosis, renal failure)
  • Metabolic alkalosis: Loss of acids or excess bicarbonate (prolonged vomiting)

Moles and Molar Mass

While not heavily tested, basic mole concepts may appear:

  • Avogadro's number: 6.022 x 10^23 particles per mole
  • Molar mass: Mass of one mole of a substance (in g/mol), equals the atomic/molecular weight from the periodic table
  • Example: Water (H2O) has a molar mass of 18.02 g/mol (2 x 1.01 for H + 16.00 for O)
  • Molarity (M): Concentration expressed as moles of solute per liter of solution

Important Elements in Human Biology

ElementSymbol% of Body MassFunction
OxygenO65%Component of water and organic molecules; cellular respiration
CarbonC18.5%Backbone of all organic molecules
HydrogenH9.5%Component of water and organic molecules; pH balance
NitrogenN3.2%Component of amino acids, proteins, nucleic acids
CalciumCa1.5%Bone structure, muscle contraction, nerve transmission, blood clotting
PhosphorusP1.0%ATP, DNA/RNA, bone structure
PotassiumK0.4%Nerve impulses, muscle contraction, fluid balance
SodiumNa0.2%Nerve impulses, fluid balance, blood pressure
ChlorineCl0.2%HCl in stomach; fluid balance
IronFeTraceHemoglobin (oxygen transport), myoglobin
IodineITraceThyroid hormone production

Electrolytes in the Body

Electrolytes are ions that conduct electricity when dissolved in water. They are critical for nursing:

ElectrolyteNormal RangeFunctionImbalance
Sodium (Na+)136-145 mEq/LFluid balance, nerve conductionHypo/hypernatremia
Potassium (K+)3.5-5.0 mEq/LHeart rhythm, muscle contractionHypo/hyperkalemia (cardiac effects!)
Calcium (Ca2+)8.5-10.5 mg/dLBone, muscle, clottingHypo/hypercalcemia
Magnesium (Mg2+)1.5-2.5 mEq/LMuscle, nerve, enzyme functionHypo/hypermagnesemia
Chloride (Cl-)98-106 mEq/LFluid balance, gastric acidHypo/hyperchloremia
Bicarbonate (HCO3-)22-26 mEq/LAcid-base bufferMetabolic acidosis/alkalosis

Solutions and Concentration

Solution = solute (dissolved substance) + solvent (dissolving substance, usually water)

Concentration TypeDefinitionFormula
Percent (%)Mass of solute per 100 mL of solution(solute mass / solution volume) x 100
Molarity (M)Moles of solute per liter of solutionM = moles / liters
Parts per million (ppm)mg of solute per liter of solutionUsed for trace amounts (e.g., water quality)

Types of solutions based on tonicity (osmolarity):

TypeRelative ConcentrationEffect on CellsIV Example
IsotonicSame as cellNo change in cell size0.9% NaCl (Normal Saline)
HypertonicHigher than cellCell shrinks (crenation)3% NaCl
HypotonicLower than cellCell swells (may lyse)0.45% NaCl

Clinical significance: IV fluid selection depends on the patient's hydration status and electrolyte balance. Normal saline (0.9% NaCl) is isotonic and used most commonly because it does not change cell volume.

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Types of Chemical Bonds
Test Your Knowledge

Which subatomic particle determines the identity of an element?

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B
C
D
Test Your Knowledge

An ionic bond is formed when:

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B
C
D
Test Your Knowledge

How many valence electrons does an element in Group 17 (halogens) have?

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B
C
D
Test Your KnowledgeFill in the Blank

The outermost electrons that determine an element's chemical behavior are called _____ electrons.

Type your answer below

Test Your Knowledge

Water (H2O) contains which type of bond between its atoms?

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B
C
D
Test Your KnowledgeMatching

Match each subatomic particle to its properties.

Match each item on the left with the correct item on the right

1
Proton
2
Neutron
3
Electron
Test Your Knowledge

Which group of elements is characterized by having a full outer electron shell and being chemically inert?

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B
C
D