Nursing Elites

1. What causes wrinkled and sagging skin?

• A. Drinking too much water
• B. Heredity alone
• C. Loss of subcutaneous fat and reduced levels of elastin and collagen
• D. Excess subcutaneous fat

Correct answer: C

Rationale: Wrinkled and sagging skin is primarily caused by the loss of subcutaneous fat and reduced levels of elastin and collagen in the skin. Choice A is incorrect as drinking too much water does not lead to wrinkled and sagging skin. Choice B is incorrect because heredity alone does not cause this condition. Excess subcutaneous fat, as mentioned in Choice D, can contribute to a different skin appearance, such as puffiness, but not wrinkled and sagging skin.

2. Peripheral vasodilation results in heat loss through which of the following processes?

• A. conduction
• B. convection
• C. radiation
• D. evaporation

Correct answer: C

Rationale: Peripheral vasodilation is the widening of blood vessels near the surface of the skin, allowing more blood to flow near the skin's surface. This process enhances heat loss primarily through radiation. Radiation is the transfer of heat energy in the form of electromagnetic waves. Conduction involves direct contact between objects, convection involves the transfer of heat through fluid or gas, and evaporation involves the phase change of a liquid to a gas, which cools the surface.

3. Which of the following is produced by the prostate gland?

• A. testosterone
• B. fluid to lubricate the head of the penis
• C. substance to enhance sperm mobility
• D. Gonadotrophin-releasing hormone

Correct answer: B

Rationale: The correct answer is 'fluid to lubricate the head of the penis.' The prostate gland produces a milky fluid that makes up part of the seminal fluid, which helps to nourish and transport sperm. Testosterone is produced mainly by the testes, not the prostate gland. While the prostate gland does contribute to sperm mobility, its primary function is to produce the fluid that lubricates the penis during ejaculation. Gonadotrophin-releasing hormone is produced by the hypothalamus and regulates the release of hormones from the pituitary gland.

4. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?

• A. chloride
• B. phosphorus
• C. potassium
• D. sodium

Correct answer: C

Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.

5. Is the elbow distal to the wrist?

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

Correct answer: B

Rationale: The correct answer is False. In anatomical terms, 'distal' means farther away from the center of the body or the point of attachment. The elbow is proximal to the wrist because it is closer to the center of the body. Therefore, the statement that the elbow is distal to the wrist is incorrect. Choice A is incorrect because the elbow is not distal to the wrist. Choice C is incorrect as the anatomical relationship between the elbow and wrist can be determined. Choice D is incorrect as there is a definitive answer to this anatomical question.

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