Nursing Elites

1. 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.

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: never having smoked

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 is a result of stimulation of the sympathetic nervous system?

• A. decreased blood flow to the skeletal muscles
• B. increased cardiac output
• C. decreased respiratory rate
• D. increased urinary output

Correct answer: increased cardiac output

Rationale: Stimulation of the sympathetic nervous system leads to an increase in cardiac output. When the sympathetic nervous system is activated, it causes the heart to beat faster and with more force, leading to an increased cardiac output. Choices A, C, and D are incorrect because the sympathetic nervous system does not cause decreased blood flow to the skeletal muscles, decreased respiratory rate, or increased urinary output.

4. What is the function of the gallbladder?

• A. Filters all of the blood in the body and breaks down poisonous substances, such as alcohol and drugs
• B. Make enzymes
• C. Store and concentrate bile, a fluid produced by the liver that helps with fat digestion
• D. Helps to further digest food

Correct answer: Store and concentrate bile, a fluid produced by the liver that helps with fat digestion

Rationale: The correct answer is C: Store and concentrate bile, a fluid produced by the liver that helps with fat digestion. The gallbladder stores bile produced by the liver and releases it to aid in the digestion of fats. Choice A is incorrect as the liver, not the gallbladder, filters blood and detoxifies harmful substances. Choice B is incorrect because the production of enzymes primarily occurs in the pancreas, not the gallbladder. Choice D is incorrect as the gallbladder's main role is not to further digest food but to store and release bile.

5. What is the most useful application of ultrasonography for diagnostic examination?

• A. dense organs, such as bones.
• B. air-filled organs, such as lungs.
• C. soft internal structures, such as fetuses.
• D. microscopic structures.

Correct answer: soft internal structures, such as fetuses.

Rationale: Ultrasonography is a medical imaging technique that uses sound waves to visualize internal body structures. It is particularly effective for examining soft tissues like organs, blood vessels, and fetuses. Choice A is incorrect because bones are better visualized using techniques like X-rays. Choice B is incorrect as air-filled organs like lungs are not well visualized with ultrasound due to air being a poor conductor of sound waves. Choice D is incorrect since ultrasonography cannot visualize structures at a microscopic level, as it is used for larger internal structures.

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