Nursing Elites

1. Maintaining a stable internal environment typically requires

• A. positive feedback mechanisms.
• B. an unstable outside environment.
• C. decreased atmospheric pressure.
• D. negative feedback mechanisms.

Correct answer: D

Rationale: The correct answer is 'negative feedback mechanisms.' In biological systems, negative feedback mechanisms help maintain homeostasis by counteracting any deviations from the set point. They work to stabilize internal conditions and keep them within a narrow range. On the other hand, positive feedback mechanisms amplify changes and are not involved in maintaining stability. Choice B, 'an unstable outside environment,' is incorrect as internal stability is independent of external conditions like weather. Choice C, 'decreased atmospheric pressure,' is also incorrect as it does not directly relate to internal homeostasis.

2. Living organisms use oxygen to __________________.

• A. reduce heat production
• B. accept electrons for cellular metabolism
• C. release energy stored in the molecules of food
• D. remove metabolic wastes

Correct answer: C

Rationale: The correct answer is C. Living organisms use oxygen to release energy stored in the molecules of food through a process called cellular respiration. This process involves breaking down glucose molecules in the presence of oxygen to produce energy in the form of ATP. Choice A is incorrect because oxygen does not directly reduce heat production in organisms. Choice B is incorrect because oxygen is involved in accepting electrons rather than donating them in cellular metabolism. Choice D is incorrect because the removal of metabolic wastes is not the primary role of oxygen in living organisms.

3. What effect does aldosterone secretion have on electrolyte levels?

• A. Calcium levels are decreased
• B. Sodium levels are increased
• C. Potassium levels are increased
• D. Magnesium levels are decreased

Correct answer: B

Rationale: Aldosterone is a hormone that primarily acts on the kidneys to increase the reabsorption of sodium and water into the bloodstream. As a result, sodium levels are increased. Choices A, C, and D are incorrect. Aldosterone does not significantly affect calcium, potassium, or magnesium levels.

4. The removal of wastes produced by metabolic reactions is

• A. metabolism.
• B. absorption.
• C. assimilation.
• D. excretion.

Correct answer: D.

Rationale: The correct answer is 'excretion.' Excretion is the process of eliminating waste products produced by metabolic reactions from the body. Metabolism (Choice A) refers to the chemical processes that occur within a living organism to maintain life. Absorption (Choice B) is the process of taking in nutrients and fluids into the body. Assimilation (Choice C) is the process of absorbing and incorporating nutrients into the body after digestion. Therefore, excretion is the most appropriate term for the removal of metabolic wastes.

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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