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. The ability of an organism to sense and react to changes in its body illustrates

• A. circulation.
• B. respiration.
• C. responsiveness.
• D. absorption

Correct answer: C.

Rationale: The correct answer is 'responsiveness.' Responsiveness refers to the ability of an organism to detect and respond to stimuli in its environment. In this context, it specifically relates to an organism's ability to sense and react to changes within its body. Choices A, B, and D are incorrect. Circulation refers to the movement of fluids within an organism, respiration is the process of exchanging gases, and absorption is the uptake of substances by cells or tissues.

3. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?

• A. chloride
• B. phosphorus
• C. potassium
• D. sodium

Correct answer: C

Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.

4. Which of the following is produced by the prostate gland?

• A. testosterone
• B. fluid to lubricate the head of the penis
• C. substance to enhance sperm mobility
• D. Gonadotrophin-releasing hormone

Correct answer: B

Rationale: The correct answer is 'fluid to lubricate the head of the penis.' The prostate gland produces a milky fluid that makes up part of the seminal fluid, which helps to nourish and transport sperm. Testosterone is produced mainly by the testes, not the prostate gland. While the prostate gland does contribute to sperm mobility, its primary function is to produce the fluid that lubricates the penis during ejaculation. Gonadotrophin-releasing hormone is produced by the hypothalamus and regulates the release of hormones from the pituitary gland.

5. 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.

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