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 types of cells is primarily responsible for the destruction of old cells and invasive micro-organisms?

• A. Basophils
• B. Eosinophils
• C. B-cells
• D. Macrophages

Correct answer: D

Rationale: Macrophages are a type of white blood cell that plays a crucial role in the immune system by engulfing and digesting cellular debris, foreign substances, microbes, cancer cells, and old or damaged cells. Basophils are primarily involved in allergic reactions and parasitic infections, eosinophils combat multicellular parasites and have a role in allergic reactions, and B-cells are responsible for producing antibodies. Therefore, the correct answer is macrophages as they are specialized in phagocytosis and removal of unwanted cells and microorganisms.

4. Paired organs, such as the kidneys or lungs, are said to be

• A. bisexual.
• B. bilingual.
• C. bilateral.
• D. bivalent.

Correct answer: C

Rationale: The correct answer is C: 'bilateral.' Paired organs like the kidneys or lungs are described as bilateral because they occur in pairs on both sides of the body. Option A 'bisexual' refers to having both male and female reproductive organs, which is not the correct term for paired organs. Option B 'bilingual' refers to being able to speak two languages, which is not related to the description of paired organs. Option D 'bivalent' means having two valences, which is also unrelated to the context of paired organs.

5. One characteristic that centenarians share is

• A. a high level of exercise throughout life
• B. long-lived relatives
• C. following the Mediterranean diet
• D. never having smoked

Correct answer: D

Rationale: The correct answer is 'never having smoked.' Research suggests that one of the common characteristics among centenarians is that they have never smoked. Smoking is a well-known risk factor for various diseases and can significantly reduce lifespan. Choice A, 'a high level of exercise throughout life,' is not a universal characteristic among centenarians, although exercise can contribute to a healthy lifestyle. Choice B, 'long-lived relatives,' while genetics can play a role in longevity, not all centenarians have long-lived relatives. Choice C, 'following the Mediterranean diet,' is a healthy dietary choice but not a defining characteristic shared by all centenarians.

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