Nursing Elites

1. A table shows the blood pressure readings for different age groups. How do you determine the patient with the highest systolic pressure?

• A. Find the largest number in the "systolic pressure" column.
• B. Compare the means (averages) of each age group.
• C. Add all systolic pressure values and divide by the total number of patients.
• D. Subtract the lowest systolic pressure from the highest.

Correct answer: A

Rationale: The best way is to compare the average systolic pressure values for each age group to identify the highest.

2. Fertilization of the egg by sperm typically occurs in the:

• A. Ovary
• B. Fallopian tube
• C. Uterus
• D. Vagina

Correct answer: B

Rationale: The correct answer is B: Fallopian tube. Fertilization of the egg by sperm typically occurs in the fallopian tube. After ovulation, the egg travels through the fallopian tube where it can meet sperm for fertilization. The fallopian tube provides an ideal environment for fertilization to occur due to its proximity to the ovaries and the uterus. The other options, A: Ovary, C: Uterus, and D: Vagina, are not the typical sites for fertilization to take place. Therefore, the fallopian tube is the most appropriate location for the union of egg and sperm to form a zygote.

3. Which type of fiber is insoluble and promotes gut motility?

• A. Pectin
• B. Cellulose
• C. Beta-gluca
• D. Guar gum

Correct answer: B

Rationale: Rationale: A) Pectin is a soluble fiber found in fruits and vegetables. It forms a gel-like substance in the gut and can help lower cholesterol levels. B) Cellulose is an insoluble fiber found in plants, particularly in the cell walls of fruits, vegetables, and whole grains. It adds bulk to the stool and promotes gut motility by aiding in the movement of food through the digestive system. C) Beta-glucan is a soluble fiber found in oats and barley. It can help lower cholesterol levels and improve blood sugar control. D) Guar gum is a soluble fiber derived from guar beans. It can help with digestion and may have a role in managing blood sugar levels. In this case, the question specifically asks for the type of fiber that is insoluble and promotes gut motility, which is characteristic of cellulose.

4. Which of the following is NOT a function of the cardiovascular system?

• A. Transporting oxygen to cells
• B. Maintaining blood pressure
• C. Carrying waste products to the kidneys for removal
• D. Initiating the immune response

Correct answer: D

Rationale: The cardiovascular system is responsible for transporting oxygen to cells (option A), maintaining blood pressure (option B), and carrying waste products to the kidneys for removal (option C). However, initiating the immune response (option D) is not a function of the cardiovascular system. The immune response is primarily carried out by the immune system, which includes organs like the spleen and lymph nodes. While the cardiovascular system does play a role in immune function by transporting immune cells and antibodies, it is not responsible for initiating the immune response. Therefore, option D is the correct answer.

5. What disease is characterized by progressive muscle weakness and wasting?

• A. Muscular dystrophy
• B. Myositis
• C. Fibromyalgia
• D. Carpal tunnel syndrome

Correct answer: A

Rationale: The correct answer is A: Muscular dystrophy. Muscular dystrophy is a genetic disorder characterized by progressive muscle weakness and wasting over time. It primarily affects skeletal muscles, leading to difficulties in movement and muscle function. Myositis is an inflammatory condition affecting the muscles, but it may not always result in progressive muscle weakness and wasting. Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain and fatigue, not necessarily progressive muscle weakness. Carpal tunnel syndrome is a compression neuropathy affecting the median nerve in the wrist, leading to symptoms like numbness and tingling in the hand, but it does not cause progressive muscle weakness and wasting like muscular dystrophy does.

6. The phrase "survival of the fittest" refers to:

• A. Organisms with the most complex anatomical structures are more likely to survive and reproduce.
• B. Organisms that demonstrate the best adaptations to their environment have a higher chance of survival and reproduction.
• C. All organisms have an equal probability of survival and reproductive success regardless of their traits.
• D. Only the strongest and most aggressive individuals within a population will survive and reproduce.

Correct answer: B

Rationale: Rationale: The phrase "survival of the fittest" is often associated with the concept of natural selection, which was proposed by Charles Darwin. Natural selection is the process by which organisms that are best adapted to their environment are more likely to survive and reproduce, passing on their advantageous traits to the next generation. This process does not necessarily favor the most complex anatomical structures (option A) or the strongest and most aggressive individuals (option D). Instead, it emphasizes the importance of adaptations that enhance an organism's ability to survive and reproduce in a specific environment. Option C is incorrect because natural selection results in differential reproductive success based on an organism's traits, meaning that not all organisms have an equal probability of survival and reproductive success.

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