Nursing Elites

1. 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.

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 may indicate hypersecretion of thyroid hormone?

• A. weight loss
• B. Bradycardia
• C. cold intolerance
• D. lethargy

Correct answer: A

Rationale: Weight loss is a common symptom of hyperthyroidism, which is characterized by an excess secretion of thyroid hormone. This increased metabolic rate can lead to weight loss despite normal or increased appetite. Bradycardia (slow heart rate), cold intolerance, and lethargy are more commonly associated with hypothyroidism, where there is an insufficient production of thyroid hormone. Therefore, choices B, C, and D are incorrect in the context of hypersecretion of thyroid hormone.

4. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?

• A. chloride
• B. phosphorus
• C. potassium
• D. sodium

Correct answer: C

Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.

5. The maintenance of a steady body temperature in the face of fluctuating environmental conditions illustrates homeostasis.

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The correct answer is True. Homeostasis is the body's ability to maintain a stable internal environment despite external changes. In this case, the maintenance of a steady body temperature despite fluctuations in environmental conditions is a clear example of homeostasis. The body regulates temperature through processes like sweating when it's hot and shivering when it's cold. Choices B, C, and D are incorrect because the statement provided does indeed illustrate the concept of homeostasis, making them inaccurate.

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