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. 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.

3. Temperature is a form of energy, whereas heat is a measurement of the intensity of the temperature.

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement is true. Temperature is a measure of the average kinetic energy of the particles in a substance, while heat is the transfer of energy from a hotter object to a colder one. Heat is not a measurement of the intensity of temperature, but rather the energy transfer due to a temperature difference. Therefore, the correct answer is True. Choice B (False) is incorrect as the statement is true based on the definitions of temperature and heat.

4. Is the parietal pleura a visceral membrane?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: B

Rationale: The statement that the parietal pleura is a visceral membrane is false. The parietal pleura is actually a membrane that lines the thoracic cavity and is responsible for protecting and cushioning the lungs. Visceral pleura, on the other hand, is the membrane that covers the surface of the lungs. Therefore, the parietal pleura is not a visceral membrane, making the correct answer 'False.' Choices C and D are not relevant as the question is asking for a true/false statement.

5. 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.

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