Nursing Elites

1. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.

• A. the age of the sperm.
• B. the age of her eggs.
• C. her risk of developing diabetes.
• D. her cholesterol level, not her appearance.

Correct answer: B

Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.

2. Which of the following structures, located at the end of the ear canal, vibrates when sound waves strike it?

• A. Acoustic meatus
• B. Cochlea
• C. Eustachian tube
• D. Tympanic membrane

Correct answer: D

Rationale: The correct answer is the Tympanic membrane. The tympanic membrane, also known as the eardrum, is located at the end of the ear canal and vibrates when sound waves strike it. This vibration is then transmitted to the ossicles in the middle ear, which amplify and transmit the sound to the inner ear. Choice A, the Acoustic meatus, is incorrect as it is the ear canal itself, not the structure that vibrates. Choice B, the Cochlea, is responsible for translating sound vibrations into electrical signals but is not located at the end of the ear canal. Choice C, the Eustachian tube, is responsible for equalizing pressure between the middle ear and the atmosphere and is not involved in vibration from sound waves.

3. The thoracic cavity lies _____________ the abdominopelvic cavity.

• A. dorsal (posterior) to
• B. ventral (anterior) to
• C. superior to
• D. inferior to

Correct answer: C

Rationale: The correct answer is 'superior to.' The thoracic cavity is located above the abdominopelvic cavity, making it superior. The term 'dorsal (posterior) to' refers to the back side, 'ventral (anterior) to' indicates the front side, and 'inferior to' means below. In the context of body cavities, the thoracic cavity is positioned higher than the abdominopelvic cavity, making 'superior to' the most appropriate choice.

4. What is the membrane on the surface of a lung called?

• A. visceral pleura
• B. parietal pleura
• C. visceral pericardium
• D. parietal pericardium

Correct answer: A

Rationale: The correct answer is A: visceral pleura. The membrane covering the surface of the lungs is called the visceral pleura. It is a serous membrane that is in direct contact with the lung tissue. Choices B, C, and D are incorrect because the parietal pleura covers the inner surface of the chest wall and diaphragm, the visceral pericardium covers the surface of the heart, and the parietal pericardium is the outer layer of the pericardium surrounding the heart, respectively.

5. Which part of the nephron is closest to the collecting duct?

• A. Distal convoluted tubule (DCT)
• B. Bowman's Capsule
• C. Afferent Arteriole
• D. Proximal Convoluted Tubule (PCT)

Correct answer: A

Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.

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