Nursing Elites

1. Living organisms use oxygen to __________________.

• A. reduce heat production
• B. accept electrons for cellular metabolism
• C. release energy stored in the molecules of food
• D. remove metabolic wastes

Correct answer: C: release energy stored in the molecules of food

Rationale: The correct answer is C. Living organisms use oxygen to release energy stored in the molecules of food through a process called cellular respiration. This process involves breaking down glucose molecules in the presence of oxygen to produce energy in the form of ATP. Choice A is incorrect because oxygen does not directly reduce heat production in organisms. Choice B is incorrect because oxygen is involved in accepting electrons rather than donating them in cellular metabolism. Choice D is incorrect because the removal of metabolic wastes is not the primary role of oxygen in living organisms.

2. Peripheral vasodilation results in heat loss through which of the following processes?

• A. conduction
• B. convection
• C. radiation
• D. evaporation

Correct answer: C

Rationale: Peripheral vasodilation is the widening of blood vessels near the surface of the skin, allowing more blood to flow near the skin's surface. This process enhances heat loss primarily through radiation. Radiation is the transfer of heat energy in the form of electromagnetic waves. Conduction involves direct contact between objects, convection involves the transfer of heat through fluid or gas, and evaporation involves the phase change of a liquid to a gas, which cools the surface.

3. Which of the following bones is a component of the appendicular skeleton?

• A. Xiphoid process
• B. Symphysis pubis
• C. Sacrum
• D. Sternum

Correct answer: Symphysis pubis

Rationale: The correct answer is B: Symphysis pubis. The symphysis pubis is a component of the appendicular skeleton, specifically part of the pelvic girdle. The xiphoid process (Choice A) is part of the axial skeleton, located at the lower end of the sternum. The sacrum (Choice C) is also part of the axial skeleton, forming the posterior part of the pelvis. The sternum (Choice D) is part of the axial skeleton, located in the center of the chest.

4. Which of the following may indicate hypersecretion of thyroid hormone?

• A. weight loss
• B. Bradycardia
• C. cold intolerance
• D. lethargy

Correct answer: weight loss

Rationale: Weight loss is a common symptom of hyperthyroidism, which is characterized by an excess secretion of thyroid hormone. This increased metabolic rate can lead to weight loss despite normal or increased appetite. Bradycardia (slow heart rate), cold intolerance, and lethargy are more commonly associated with hypothyroidism, where there is an insufficient production of thyroid hormone. Therefore, choices B, C, and D are incorrect in the context of hypersecretion of thyroid hormone.

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: the age of her eggs.

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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