Nursing Elites

1. If a patient had a heart attack and tissue in the left ventricle lost blood flow, what would you most expect to happen?

• A. Blood would not flow from the lungs.
• B. Blood would back up in the legs.
• C. Blood would not be pumped to the body.
• D. Blood would not be oxygenated.

Correct answer: C

Rationale: The correct answer is C: 'Blood would not be pumped to the body.' When tissue in the left ventricle loses blood flow due to a heart attack, the ability of the left ventricle to pump oxygenated blood to the body is compromised. This can lead to serious consequences for the patient's overall health and organ function. Choices A, B, and D are incorrect because a heart attack affecting the left ventricle does not directly impact blood flow from the lungs, cause blood to back up in the legs, or prevent blood from being oxygenated. The primary concern is the compromised ability of the left ventricle to pump blood to the rest of the body, affecting overall circulation and organ perfusion.

2. What happens to the momentum of an object when there is no external force acting upon it?

• A. Momentum increases
• B. Momentum decreases
• C. Momentum remains constant
• D. Momentum becomes zero

Correct answer: C

Rationale: When there is no external force acting upon an object, the law of conservation of momentum dictates that the momentum of the object remains constant. This means that the momentum does not increase or decrease; it stays the same. Choice A is incorrect because momentum does not increase. Choice B is incorrect because momentum does not decrease. Choice D is incorrect as momentum does not become zero; it remains constant as per the conservation law. Therefore, the correct answer is C, as the object's momentum is unchanged in the absence of external forces.

3. Which of the following is a condition characterized by a loss of bone density and increased risk of fractures?

• A. Osteoarthritis
• B. Rickets
• C. Osteoporosis
• D. Scoliosis

Correct answer: C

Rationale: Osteoporosis is a condition characterized by a loss of bone density, leading to fragile bones and an increased risk of fractures. Osteoarthritis is a degenerative joint disease affecting cartilage, Rickets is caused by a deficiency in vitamin D leading to impaired bone development, and Scoliosis is an abnormal sideways curvature of the spine. Therefore, the correct answer is osteoporosis as it specifically pertains to decreased bone density and fracture risk, distinguishing it from the other conditions listed.

4. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

5. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

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