Nursing Elites

1. What is the term for the upper midportion of the abdomen?

• A. hypochondriac
• B. iliac
• C. hypogastric
• D. epigastric

Correct answer: D

Rationale: The correct answer is "epigastric." The epigastric region is located in the upper midportion of the abdomen, between the hypochondriac regions on either side. Choice A, "hypochondriac," refers to the upper lateral regions of the abdomen beneath the ribs. Choice B, "iliac," pertains to the lower lateral regions of the abdomen. Choice C, "hypogastric," is the lower central region of the abdomen.

2. 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.

3. The removal of wastes produced by metabolic reactions is

• A. metabolism.
• B. absorption.
• C. assimilation.
• D. excretion.

Correct answer: D.

Rationale: The correct answer is 'excretion.' Excretion is the process of eliminating waste products produced by metabolic reactions from the body. Metabolism (Choice A) refers to the chemical processes that occur within a living organism to maintain life. Absorption (Choice B) is the process of taking in nutrients and fluids into the body. Assimilation (Choice C) is the process of absorbing and incorporating nutrients into the body after digestion. Therefore, excretion is the most appropriate term for the removal of metabolic wastes.

4. Which of the following cardiac valves prevents blood from returning to the left ventricle of the heart?

• A. pulmonic
• B. mitral
• C. tricuspid
• D. aortic

Correct answer: D

Rationale: The correct answer is the aortic valve. The aortic valve is located between the left ventricle and the aorta, preventing the backflow of blood into the left ventricle once it has been pumped out during systole. Choice A, pulmonic, is incorrect as it is associated with the right side of the heart. Choice B, mitral, is incorrect as it is the valve between the left atrium and ventricle. Choice C, tricuspid, is incorrect as it is located between the right atrium and ventricle.

5. In the early days, healers transitioned from superstition and magic to using natural chemicals in the field of medicine.

• A. True
• B. False
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement is true. The field of medicine evolved as early healers moved away from superstition and magic, instead focusing on natural chemicals to treat illnesses. This transition marked a shift towards a more scientific and evidence-based approach to healthcare. This historical transition is well-documented in the evolution of medicine. Choice B is incorrect because the statement accurately reflects the historical development of medicine. Choice C is incorrect as the historical transition from superstition to natural chemicals is a well-documented aspect of the evolution of medicine. Choice D is incorrect as the statement provided is true.

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