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. Which of the following bones is a component of the appendicular skeleton?

• A. Xiphoid process
• B. Symphysis pubis
• C. Sacrum
• D. Sternum

Correct answer: B

Rationale: The correct answer is B: Symphysis pubis. The symphysis pubis is a component of the appendicular skeleton, specifically part of the pelvic girdle. The xiphoid process (Choice A) is part of the axial skeleton, located at the lower end of the sternum. The sacrum (Choice C) is also part of the axial skeleton, forming the posterior part of the pelvis. The sternum (Choice D) is part of the axial skeleton, located in the center of the chest.

3. Which of the following lists best illustrates the idea of increasing levels of complexity?

• A. Cells, tissues, organelles, organs, organ systems
• B. Tissues, cells, organs, organelles, organ systems
• C. Organs, organelles, organ systems, cells, tissues
• D. Organelles, cells, tissues, organs, organ systems

Correct answer: D

Rationale: The correct answer is D: Organelles, cells, tissues, organs, organ systems. This list correctly depicts the increasing levels of complexity in biological organization. It starts with organelles, which are subunits within cells, followed by cells, then tissues (groups of cells working together), organs (comprised of different tissues), and finally organ systems (multiple organs working together). Choices A, B, and C are incorrect as they do not follow the logical progression of complexity from smaller units to larger, more complex structures.

4. What is the maximum capacity of a normal adult bladder before involuntary micturition is likely to occur?

• A. 800-900ml
• B. 300-600ml
• C. 1000-2000ml
• D. 400-700ml

Correct answer: B

Rationale: The correct answer is B: 300-600ml. A normal adult bladder can hold approximately 300-600ml of urine before the urge to urinate becomes strong and involuntary micturition is likely to occur. Choice A (800-900ml), Choice C (1000-2000ml), and Choice D (400-700ml) all exceed the typical capacity of a normal adult bladder and would generally not be accurate in the context of involuntary micturition.

5. Signs of aging at the cellular level are

• A. graying hair, waning strength, and wrinkles.
• B. unrepaired DNA and abnormal proteins.
• C. impaired cell division and the ability to break down and recycle worn cell parts.
• D. a fatty liver and clogged blood vessels.

Correct answer: C

Rationale: The correct answer is 'impaired cell division and the ability to break down and recycle worn cell parts.' Aging at the cellular level involves reduced efficiency in cell division and the breakdown/recycling of cellular components, leading to functional decline. Choices A, B, and D are incorrect because they involve external physical manifestations or organ-specific issues rather than cellular-level changes associated with aging.

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