Nursing Elites

1. What is the outermost protective layer of the kidney?

• A. Renal cortex
• B. Renal medulla
• C. Renal capsule
• D. Renal pelvis

Correct answer: C

Rationale: The correct answer is C, Renal capsule. The renal capsule is the outermost protective layer of the kidney. It is a tough fibrous layer that surrounds the kidney and helps protect it from injury and maintain its shape. Choice A, Renal cortex, is the outer region of the kidney where filtration occurs. Choice B, Renal medulla, is the inner region of the kidney where urine is formed. Choice D, Renal pelvis, is the funnel-shaped structure that collects urine from the kidney and funnels it into the ureter. Therefore, the renal capsule is specifically designated as the outermost protective layer of the kidney.

2. The gland located on top of the kidneys responsible for regulating blood pressure and electrolyte balance is the:

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Parathyroid gland

Correct answer: C

Rationale: The gland located on top of the kidneys responsible for regulating blood pressure and electrolyte balance is the adrenal gland. The adrenal gland produces hormones such as cortisol and aldosterone, which play a crucial role in regulating blood pressure and electrolyte balance in the body. The other choices, thyroid gland (choice A), pituitary gland (choice B), and parathyroid gland (choice D), do not have a primary role in regulating blood pressure and electrolyte balance. The thyroid gland is responsible for regulating metabolism, the pituitary gland controls various endocrine functions, and the parathyroid gland regulates calcium levels in the body.

3. Which of the following best defines the anatomical term medial?

• A. Being face down
• B. On the front of the body or limb
• C. Near to the midline of the body
• D. Above or on top of the lungs

Correct answer: C

Rationale: The correct definition of the anatomical term 'medial' is being close or near to the midline of the body. This term describes a position closer to the center or midline of the body, opposite to 'lateral' which refers to a position further away from the midline. Choice A, 'Being face down,' is incorrect as it describes the anatomical term 'prone.' Choice B, 'On the front of the body or limb,' is incorrect as it describes the anatomical term 'anterior.' Choice D, 'Above or on top of the lungs,' is incorrect as it does not relate to the term 'medial.'

4. In the reaction 4Al + 3O2 → 2Al2O3, what is the mole ratio of aluminum to oxygen?

• A. 4:3
• B. 2:3
• C. 3:2
• D. 3:4

Correct answer: A

Rationale: The balanced chemical equation shows that 4 moles of aluminum react with 3 moles of oxygen to produce 2 moles of aluminum oxide. Therefore, the mole ratio of aluminum to oxygen is 4:3. Choice B (2:3) is incorrect because it does not reflect the correct ratio based on the balanced equation. Choice C (3:2) and Choice D (3:4) are also incorrect as they do not represent the correct mole ratio of aluminum to oxygen according to the balanced chemical equation.

5. 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.

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