Nursing Elites

1. 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.

2. One characteristic that centenarians share is

• A. a high level of exercise throughout life
• B. long-lived relatives
• C. following the Mediterranean diet
• D. never having smoked

Correct answer: D

Rationale: The correct answer is 'never having smoked.' Research suggests that one of the common characteristics among centenarians is that they have never smoked. Smoking is a well-known risk factor for various diseases and can significantly reduce lifespan. Choice A, 'a high level of exercise throughout life,' is not a universal characteristic among centenarians, although exercise can contribute to a healthy lifestyle. Choice B, 'long-lived relatives,' while genetics can play a role in longevity, not all centenarians have long-lived relatives. Choice C, 'following the Mediterranean diet,' is a healthy dietary choice but not a defining characteristic shared by all centenarians.

3. Which of the following processes is most important for the continuation of the human species?

• A. Responsiveness
• B. Movement
• C. Reproduction
• D. Respiration

Correct answer: C

Rationale: Reproduction is the most important process for the continuation of the human species as it involves the creation of new individuals. Without reproduction, the human species would cease to exist. Responsiveness and movement are essential for individual survival and functioning but do not directly impact the continuation of the species. Respiration is crucial for obtaining energy but is not directly linked to the continuation of the species.

4. Which of the following is not an example of a homeostatic mechanism in the human body?

• A. Shivering when the body temperature falls below normal.
• B. Increasing heart rate and force of contraction when blood pressure falls.
• C. Retaining fluid excessively.
• D. Secreting insulin after a meal to return blood sugar concentration toward normal.

Correct answer: C

Rationale: The correct answer is C. Homeostatic mechanisms aim to maintain internal stability within the body. Choices A, B, and D all represent examples of homeostatic mechanisms. Shivering helps generate heat to raise body temperature back to normal levels. Increasing heart rate and force of contraction work to restore blood pressure. Insulin secretion after a meal helps regulate blood sugar levels. On the other hand, retaining fluid excessively can lead to fluid imbalance rather than maintaining internal stability, making it the incorrect choice.

5. Positive feedback mechanisms usually result in

• A. changes returning values away from a set point.
• B. stable conditions around a set point.
• C. unstable conditions.
• D. long-term changes.

Correct answer: C

Rationale: Positive feedback mechanisms usually result in unstable conditions. In a positive feedback loop, the output enhances or amplifies the changes that are occurring, leading to a deviation from the initial set point. Therefore, positive feedback does not bring values back towards the set point (Choice A). Choice B is incorrect because positive feedback does not promote stability around a set point. Choice D is also incorrect as positive feedback mechanisms typically do not lead to long-term changes; instead, they intensify the initial change, causing instability.

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