Nursing Elites

1. Is the elbow distal to the wrist?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: B

Rationale: The correct answer is False. In anatomical terms, 'distal' means farther away from the center of the body or the point of attachment. The elbow is proximal to the wrist because it is closer to the center of the body. Therefore, the statement that the elbow is distal to the wrist is incorrect. Choice A is incorrect because the elbow is not distal to the wrist. Choice C is incorrect as the anatomical relationship between the elbow and wrist can be determined. Choice D is incorrect as there is a definitive answer to this anatomical question.

2. In negative feedback mechanisms, changes away from the normal state

• A. stimulate changes in the same direction
• B. inhibit all body reactions
• C. stimulate changes in the opposite direction
• D. stimulate a reduction in all body requirements

Correct answer: C

Rationale: In negative feedback mechanisms, changes away from the normal state stimulate changes in the opposite direction. This is a fundamental concept in biological systems where the response to a stimulus opposes the initial change, helping to maintain homeostasis. Choice A is incorrect because negative feedback does not stimulate changes in the same direction. Choice B is incorrect because negative feedback does not inhibit all body reactions, but rather specific responses. Choice D is incorrect because negative feedback does not stimulate a reduction in all body requirements, but rather adjusts specific functions to restore balance.

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

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

Correct answer: A

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.

4. 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: B

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.

5. Signs of aging at the cellular level are

• A. graying hair, waning strength, and wrinkles.
• B. unrepaired DNA and abnormal proteins.
• C. impaired cell division and the ability to break down and recycle worn cell parts.
• D. a fatty liver and clogged blood vessels.

Correct answer: C

Rationale: The correct answer is 'impaired cell division and the ability to break down and recycle worn cell parts.' Aging at the cellular level involves reduced efficiency in cell division and the breakdown/recycling of cellular components, leading to functional decline. Choices A, B, and D are incorrect because they involve external physical manifestations or organ-specific issues rather than cellular-level changes associated with aging.

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