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 statements is true regarding a supersaturated solution?

• A. It is unstable and tends to crystallize
• B. It contains more solute than it could dissolve
• C. It has a higher concentration than a saturated solution
• D. It is rarely encountered in everyday solutions

Correct answer: A

Rationale: A supersaturated solution is unstable and tends to crystallize because it contains more solute than it could dissolve at a given temperature. This excess solute is in a metastable state and can precipitate out if disturbed, leading to the formation of crystals. Option B is incorrect because a supersaturated solution does contain more solute than it could normally dissolve, but it becomes unstable due to this excess solute. Option C is incorrect because while a supersaturated solution does have a higher concentration than a saturated solution, the defining characteristic related to its instability is the excess solute. Option D is incorrect as supersaturated solutions can be encountered in various everyday scenarios, such as certain sugar solutions used in cooking or rock candy production.

3. What is the main component of stomach acid?

• A. Hydrochloric acid
• B. Bicarbonate
• C. Bile salts
• D. Enzymes

Correct answer: A

Rationale: Stomach acid, also known as gastric acid, is primarily composed of hydrochloric acid. Hydrochloric acid plays a crucial role in the digestive process by helping to break down food and kill bacteria in the stomach. Bicarbonate is a base that helps neutralize stomach acid in the small intestine, but it is not the main component of stomach acid. Bile salts are produced by the liver and stored in the gallbladder, aiding in the digestion and absorption of fats, but they are not the main component of stomach acid. Enzymes are proteins that help catalyze chemical reactions in the body, including the breakdown of food molecules during digestion, but they are not the main component of stomach acid.

4. Which of the following is NOT a common symptom of lactose intolerance?

• A. Gas
• B. Bloating
• C. Diarrhea
• D. Nausea

Correct answer: D

Rationale: A) Gas: Gas is a common symptom of lactose intolerance. When lactose is not properly digested, it can ferment in the colon, leading to the production of gas. B) Bloating: Bloating is another common symptom of lactose intolerance. The buildup of gas in the digestive system can cause bloating and discomfort. C) Diarrhea: Diarrhea is a common symptom of lactose intolerance. When lactose is not broken down in the small intestine, it can draw excess water into the colon, resulting in diarrhea. D) Nausea: Nausea is not a common symptom of lactose intolerance. While some individuals may experience mild stomach discomfort or cramps, nausea is not typically associated with lactose intolerance.

5. When light interacts with a perfectly smooth surface, like a mirror, the dominant interaction is:

• A. Refraction
• B. Diffraction
• C. Total internal reflection
• D. Specular reflection

Correct answer: D

Rationale: When light interacts with a perfectly smooth surface like a mirror, the dominant interaction is specular reflection. Specular reflection occurs when light rays are reflected off a smooth surface at the same angle as the incident angle, resulting in a clear and sharp reflection. Refraction, which involves the bending of light as it passes from one medium to another, is not the dominant interaction with a perfectly smooth surface. Diffraction, the bending of light waves around obstacles, is not the dominant interaction with smooth surfaces. Total internal reflection occurs when light is reflected back into a medium due to encountering a boundary at an angle greater than the critical angle, but it is not the dominant interaction on a perfectly smooth surface like a mirror.

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