Nursing Elites

1. Urinary system health can be maintained through various lifestyle practices. Which of the following is NOT recommended for optimal urinary system health?

• A. Limiting high-sodium foods in the diet
• B. Consuming adequate amounts of cranberry juice
• C. Holding urine in the bladder for long periods
• D. Getting regular moderate-intensity exercise

Correct answer: C

Rationale: Holding urine in the bladder for long periods is not recommended for optimal urinary system health. It can increase the risk of urinary tract infections and other bladder-related issues. When urine is held for a long time, bacteria have more time to multiply in the bladder, leading to infections. Additionally, holding urine for prolonged periods can also contribute to bladder distension, which may affect bladder function over time. Therefore, it is crucial to empty the bladder regularly to maintain good urinary system health. Limiting high-sodium foods helps reduce the risk of kidney stones and high blood pressure, while consuming cranberry juice may help prevent urinary tract infections by interfering with the adhesion of bacteria to the bladder walls. Regular moderate-intensity exercise promotes overall health, including maintaining a healthy weight and reducing the risk of chronic conditions that can impact the urinary system.

2. 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.

3. What cellular process ensures the accurate transmission of genetic material during cell division?

• A. Mitosis (somatic cell division)
• B. Meiosis (germ cell division)
• C. Replication (DNA duplication)
• D. Transcription (DNA to RNA conversion)

Correct answer: A

Rationale: Mitosis is the correct answer. Mitosis is the process by which somatic cells divide to produce two identical daughter cells. During mitosis, the genetic material is accurately replicated and distributed to ensure each daughter cell receives a complete set of chromosomes. This process is crucial for growth, repair, and maintenance of multicellular organisms. Meiosis, on the other hand, is the type of cell division that occurs in germ cells to produce gametes (sperm and egg cells), focusing on genetic diversity through recombination and reduction of chromosome number. Replication is the process of copying DNA to produce an identical copy, essential for cell division but not the specific process ensuring accurate genetic material transmission. Transcription involves copying DNA into RNA, crucial for gene expression but not directly related to the accurate transmission of genetic material during cell division.

4. Which of the following is the intricate network of blood vessels responsible for transporting blood throughout the body?

• A. Lymphatic system
• B. Circulatory system
• C. Nervous system
• D. Respiratory system

Correct answer: B

Rationale: The circulatory system, comprising the heart, blood vessels (arteries, veins, and capillaries), and blood, is responsible for transporting blood, oxygen, nutrients, and waste products throughout the body. The lymphatic system aids in maintaining fluid balance and fighting infections; the nervous system transmits signals. The respiratory system facilitates the exchange of oxygen and carbon dioxide in the body, which is distinct from the circulatory system's role in blood transport. Therefore, the correct answer is the Circulatory system (Choice B). Choices A, C, and D are incorrect as they do not pertain to the intricate network of blood vessels responsible for transporting blood throughout the body.

5. Which of the following stimulates adaptive immunity?

• A. Peptides
• B. Phagocytes
• C. Prions
• D. Platelets

Correct answer: C

Rationale: The correct answer is C: Prions. Prions are infectious proteins that can stimulate an adaptive immune response by triggering the production of specific antibodies. Peptides are fragments of proteins and can be processed and presented by antigen-presenting cells to activate T cells, which play a role in adaptive immunity. Phagocytes, such as macrophages, are part of the innate immune system and are involved in engulfing and destroying pathogens, but they do not directly stimulate adaptive immunity. Platelets are primarily involved in blood clotting and are not directly related to stimulating adaptive immunity.

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