Nursing Elites

1. 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.

2. Which of the following structures is the natural pacemaker of the heart?

• A. Sinoatrial node
• B. Submental node
• C. Atrioventricular node
• D. Scalene node

Correct answer: A

Rationale: The sinoatrial (SA) node is often referred to as the natural pacemaker of the heart because it is a group of cells located in the right atrium responsible for initiating the electrical signals that coordinate the heart's contractions. The SA node sets the rate and rhythm of the heartbeats, making it a crucial component in the heart's function. The other options, Submental node, Atrioventricular node, and Scalene node, are not related to the regulation of the heart's electrical activity. The Submental node is a lymph node located under the chin, the Atrioventricular node is responsible for passing electrical signals from the atria to the ventricles, and the Scalene node does not exist in the context of the heart's electrical system.

3. What is the main function of the skeletal system?

• A. To regulate blood pressure
• B. To protect internal organs
• C. To produce hormones
• D. To fight infection

Correct answer: B

Rationale: The main function of the skeletal system is to provide structural support for the body, protect internal organs, facilitate movement, and produce blood cells in the bone marrow. Choice A, 'To regulate blood pressure,' is incorrect as blood pressure regulation is primarily controlled by the circulatory and endocrine systems. Choice C, 'To produce hormones,' is incorrect as hormone production is mainly carried out by the endocrine system. Choice D, 'To fight infection,' is incorrect as the immune system is responsible for fighting infections, not the skeletal system.

4. Why do Neon (Ne) and Helium (He) belong to Group 18 (Noble Gases)?

• A. Electromagnetism
• B. Gravity
• C. Strong nuclear force
• D. Weak nuclear force

Correct answer: A

Rationale: Neon (Ne) and Helium (He) belong to Group 18 (Noble Gases) because they have complete and stable outer electron shells. The stability of these outer electron shells is due to the balance of attractive forces between the positively charged protons in the nucleus and the negatively charged electrons in the outer shell. This balance is maintained by the electromagnetic force, which is responsible for holding atoms together and determining their chemical properties. Gravity (Choice B) is a force of attraction between objects with mass and is not responsible for the stability of electron shells. The strong nuclear force (Choice C) and weak nuclear force (Choice D) are forces that act within the nucleus of an atom and are not directly related to the stability of outer electron shells in determining an element's group in the periodic table.

5. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

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