Nursing Elites

1. Which of the following substances is involved in the destruction of ingested pathogens?

• A. lymphatic fluid
• B. stomach acid
• C. bicarbonate
• D. lipase

Correct answer: B

Rationale: The correct answer is stomach acid. Stomach acid, also known as gastric acid, plays a crucial role in destroying ingested pathogens due to its high acidity. The low pH of stomach acid helps to kill bacteria and other pathogens that may be present in the food we consume. Lymphatic fluid is involved in immune function and fat absorption, not pathogen destruction. Bicarbonate is a base that neutralizes stomach acid to prevent damage to the stomach lining. Lipase is an enzyme that aids in the digestion of fats but is not involved in pathogen destruction.

2. When the body is placed in the anatomical position, which of the following is not true?

• A. The head is facing to the front.
• B. The palms are facing forward.
• C. The body is erect.
• D. The upper limbs are at the sides.

Correct answer: B

Rationale: In the anatomical position, the palms are facing forward, not backward. Choice A is correct because the head is indeed facing to the front. Choice C is correct as the body is erect. Choice D is correct as the upper limbs are positioned at the sides. Therefore, the incorrect statement is that the palms are facing forward.

3. The transition from a hunter-gatherer to an agricultural lifestyle greatly changed the types of diseases and injuries that early peoples suffered.

• A. True
• B. False
• C. Not Sure
• D. All of the above

Correct answer: A

Rationale: The correct answer is True. The transition from a hunter-gatherer to an agricultural lifestyle did indeed greatly change the types of diseases and injuries that early peoples suffered. With the shift to agriculture came increased sedentism, population density, and interaction with domesticated animals, leading to the emergence of new diseases and health challenges. Choice B is incorrect because the statement is true based on historical and archaeological evidence. Choice C is incorrect as there is historical data supporting the impact of this transition. Choice D is incorrect as it is not applicable since all options do not hold true in this context.

4. What is the most useful application of ultrasonography for diagnostic examination?

• A. dense organs, such as bones.
• B. air-filled organs, such as lungs.
• C. soft internal structures, such as fetuses.
• D. microscopic structures.

Correct answer: C

Rationale: Ultrasonography is a medical imaging technique that uses sound waves to visualize internal body structures. It is particularly effective for examining soft tissues like organs, blood vessels, and fetuses. Choice A is incorrect because bones are better visualized using techniques like X-rays. Choice B is incorrect as air-filled organs like lungs are not well visualized with ultrasound due to air being a poor conductor of sound waves. Choice D is incorrect since ultrasonography cannot visualize structures at a microscopic level, as it is used for larger internal structures.

5. 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.

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