Nursing Elites

1. 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.

2. In all organisms, what is the basic unit of structure and function?

• A. the atom
• B. the molecule
• C. the macromolecule
• D. the cell

Correct answer: D

Rationale: The correct answer is 'the cell.' Cells are considered the basic unit of structure and function in all living organisms. While atoms are the smallest units of matter, they do not represent the basic unit of structure and function in organisms. Molecules are made up of atoms and can vary in size and complexity, but they are not the fundamental unit of life. Macromolecules are large molecules essential for life processes, but they are composed of atoms and do not function as the basic unit of structure and function in organisms. Therefore, the cell, with its organelles and specialized functions, is the correct answer.

3. Which of the following valves prevents backflow of blood from the right ventricle into the right atrium of the heart?

• A. Aortic
• B. Tricuspid valve
• C. Pulmonic
• D. Mitral valve

Correct answer: B

Rationale: The correct answer is the tricuspid valve. The tricuspid valve is located between the right atrium and the right ventricle of the heart. Its main function is to prevent the backflow of blood from the right ventricle into the right atrium during the heart's pumping cycle. Choice A, the aortic valve, is responsible for preventing backflow from the aorta into the left ventricle. Choice C, the pulmonic valve, prevents backflow from the pulmonary artery into the right ventricle. Choice D, the mitral valve, prevents backflow from the left ventricle into the left atrium.

4. 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.

5. 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.

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