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. What effect does aldosterone secretion have on electrolyte levels?

• A. Calcium levels are decreased
• B. Sodium levels are increased
• C. Potassium levels are increased
• D. Magnesium levels are decreased

Correct answer: B

Rationale: Aldosterone is a hormone that primarily acts on the kidneys to increase the reabsorption of sodium and water into the bloodstream. As a result, sodium levels are increased. Choices A, C, and D are incorrect. Aldosterone does not significantly affect calcium, potassium, or magnesium levels.

4. Is the parietal pericardium attached to the surface of the heart?

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

Correct answer: A

Rationale: The parietal pericardium is a tough, fibrous outer layer that is attached to the diaphragm and the sternum but not directly to the surface of the heart. It forms a sac around the heart known as the pericardial sac. Therefore, the statement that the parietal pericardium is attached to the surface of the heart is false.

5. Paired organs, such as the kidneys or lungs, are said to be

• A. bisexual.
• B. bilingual.
• C. bilateral.
• D. bivalent.

Correct answer: C

Rationale: The correct answer is C: 'bilateral.' Paired organs like the kidneys or lungs are described as bilateral because they occur in pairs on both sides of the body. Option A 'bisexual' refers to having both male and female reproductive organs, which is not the correct term for paired organs. Option B 'bilingual' refers to being able to speak two languages, which is not related to the description of paired organs. Option D 'bivalent' means having two valences, which is also unrelated to the context of paired organs.

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