Nursing Elites

1. What do large intestines absorb?

• A. Water, sodium, and potassium ions
• B. Proteins and carbohydrates
• C. Water, vitamin K, and bile salts
• D. Vitamins A, D, E, K

Correct answer: C

Rationale: The correct answer is C. The large intestine absorbs water, vitamin K, bile salts, sodium, and chloride ions. It helps in maintaining the body's water and electrolyte balance, and also plays a role in absorbing certain vitamins and nutrients such as vitamin K. Choices A, B, and D are incorrect because proteins, carbohydrates, vitamins A, D, E, and K are primarily absorbed in the small intestine, not the large intestine.

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. Which of the following terms describes the enlargement of an organ or tissue?

• A. Dystrophy
• B. Atrophy
• C. Hypertrophy
• D. Eutrophy

Correct answer: C

Rationale: Hypertrophy refers to the enlargement of an organ or tissue, typically due to an increase in the size of individual cells. This can occur in response to increased workload, hormonal stimulation, or other factors. On the other hand, dystrophy refers to the degeneration and deterioration of tissue, atrophy describes the decrease in the size of an organ or tissue, and eutrophy denotes a state of normal nutrition or growth. Therefore, the correct answer is 'Hypertrophy' as it specifically relates to the increase in size or volume of an organ or tissue.

4. Which of the following best describes eosinophils?

• A. A type of granulocyte that secretes histamine to stimulate the inflammatory response.
• B. The most abundant type of white blood cell that secretes substances toxic to pathogens.
• C. A type of granulocyte found under mucous membranes that defends against multicellular parasites.
• D. A circulating granulocyte with high phagocytic activity and aggressiveness.

Correct answer: C

Rationale: Eosinophils are best described as a type of granulocyte found under mucous membranes that defends against multicellular parasites. They release toxic substances to combat parasitic infections and play a significant role in allergic reactions and asthma. Histamine secretion to stimulate inflammation is more characteristic of basophils, while high phagocytic activity and aggressiveness are features of neutrophils, not eosinophils. Describing eosinophils as the most abundant type of white blood cell that secretes toxic substances to pathogens is inaccurate since eosinophils specifically target multicellular parasites, not a broad range of pathogens.

5. Which term refers to a position toward the head? Example: The hand is part of the superior extremity.

• A. Superior
• B. Inferior
• C. Medial
• D. Lateral

Correct answer: A

Rationale: The correct answer is 'Superior.' 'Superior' refers to a position toward the head, while 'inferior' is the term for a position toward the feet. In the given example, the hand belongs to the superior extremity, which includes structures closer to the head. 'Inferior' is incorrect as it refers to a position away from the head or toward the feet. 'Medial' describes a position closer to the midline of the body, while 'lateral' refers to a position farther away from the midline.

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