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. How much sugar is in a 1 M solution of sugar water?

• A. 1 L of water
• B. 100 mL of solution
• C. Every 100 g of water
• D. It depends on the type of sugar

Correct answer: B

Rationale: A 1 M solution of sugar water contains 1 mole of sugar in 1 liter of solution. Since 1 M (molar) solution means there is 1 mole of solute (sugar) dissolved in 1 liter of solvent (water), the correct answer is 100 mL of solution. Choice A, '1 L of water,' is incorrect because it does not specify the total volume of the solution. Choice C, 'Every 100 g of water,' is incorrect as it focuses on the weight of water, not the volume of the solution. Choice D, 'It depends on the type of sugar,' is incorrect since the concentration of a 1 M solution is standardized and does not vary based on the type of sugar used.

3. Which neurotransmitter is associated with mood, sleep, and memory?

• A. Dopamine
• B. Serotonin
• C. Acetylcholine
• D. Glutamate

Correct answer: B

Rationale: Serotonin is a neurotransmitter that is associated with regulating mood, sleep, and memory. It plays a crucial role in maintaining emotional balance and is often a target in treating mood disorders like depression and anxiety. Serotonin also helps regulate sleep patterns and is connected to memory function. Dopamine (choice A) is more commonly linked to reward, motivation, and movement. Acetylcholine (choice C) is involved in muscle control and memory. Glutamate (choice D) is a major excitatory neurotransmitter in the brain but is not primarily associated with mood, sleep, and memory.

4. Which condition can lead to blood clots and stroke?

• A. Aneurysm
• B. Arrhythmia
• C. Asthma
• D. Hypertension

Correct answer: D

Rationale: Hypertension is the correct answer. Hypertension can cause damage to blood vessels, increasing the risk of blood clots forming, which can potentially lead to a stroke. Aneurysm is a localized, abnormal dilation of a blood vessel that can lead to complications but does not directly cause blood clots and strokes. Arrhythmia refers to irregular heart rhythms and is not directly linked to the formation of blood clots. Asthma is a chronic respiratory condition and does not typically lead to blood clots and strokes.

5. What initiates the process of coagulation?

• A. When blood changes from a gel to liquid form.
• B. Begins instantly after a blood vessel has been damaged.
• C. A simple single-phase response of the blood drying upon contact with the air.
• D. Also known as clotting, or the formation of fibrin.

Correct answer: B

Rationale: The correct answer is B. The process of coagulation, also known as blood clotting, begins instantly after a blood vessel has been damaged. When a blood vessel is injured, the body quickly responds by initiating a cascade of reactions to form a blood clot, which helps to stop bleeding and promote healing. Choices A, C, and D are incorrect because coagulation does not occur just when blood changes from a gel to liquid form, it is not a response of blood drying upon contact with air, and it is not simply the formation of fibrin. The primary trigger for coagulation is vascular injury.

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