Nursing Elites

1. In a normally functioning cardiovascular system, where does the heartbeat originate?

• A. Atrioventricular nodes
• B. Bundle of His
• C. Purkinje fibers
• D. Sinoatrial node

Correct answer: D

Rationale: The correct answer is the Sinoatrial (SA) node. The SA node is known as the natural pacemaker of the heart as it initiates the electrical impulses responsible for the heartbeat. The other choices, such as the Atrioventricular (AV) nodes, Bundle of His, and Purkinje fibers, are involved in conducting the electrical signals generated by the SA node to coordinate the heart's contractions. Therefore, they do not serve as the primary origin of the heartbeat.

2. Blood cells are produced in the organs of the _______ system.

• A. endocrine
• B. skeletal
• C. superior to
• D. inferior to

Correct answer: C

Rationale: Blood cells are produced in the organs of the hematopoietic system. The correct answer is 'superior to' as this refers to the location of the organs responsible for blood cell production, typically bone marrow found in bones such as the vertebrae, ribs, and skull. 'Endocrine' (Choice A) refers to a different system responsible for hormone production. 'Skeletal' (Choice B) relates to bones but not specifically to the production of blood cells. Choices C and D, 'superior to' and 'inferior to,' do not make sense in the context of blood cell production and are incorrect.

3. An anatomical section that separates the body into right and left portions is a _______ section.

• A. frontal
• B. transverse
• C. coronal
• D. sagittal

Correct answer: D

Rationale: The correct answer is 'sagittal.' A sagittal section divides the body into right and left portions. Choice A, 'frontal,' is incorrect as it divides the body into front and back portions. Choice B, 'transverse,' divides the body into upper and lower portions. Choice C, 'coronal,' divides the body into anterior and posterior portions. Therefore, 'sagittal' is the most appropriate term for a section separating the body into right and left portions.

4. Do patterns of growth in preserved bones and tooth decay reflect the health of the people they were a part of?

• A. Yes
• B. No
• C. Not enough information to determine
• D. Not applicable

Correct answer: A

Rationale: Patterns of growth in preserved bones and tooth decay can indeed reflect the health of the individuals they belonged to. Growth patterns can indicate malnutrition or diseases during childhood, while tooth decay can signify dietary habits and overall health. Therefore, the correct answer is 'Yes.' 'No' is incorrect because these factors can provide valuable information about the health of individuals. 'Not enough information to determine' is incorrect as these indicators are commonly used in anthropological and archaeological studies to understand health conditions in past populations. 'Not applicable' is also incorrect as the information from bones and tooth decay is relevant to assessing the health of individuals.

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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