Nursing Elites

1. The average life expectancy at birth in the United States at the beginning of the 21st century was about 75 years. The average life expectancy at birth in the middle of the 19th century was only about 40 years. Which of the following factors are likely to have contributed to the longer life expectancy in the 21st century? (Select the one that does not apply)

• A. The human body has evolved to become more resilient to its environment.
• B. There have been numerous advances in medical technology and treatments.
• C. Higher standards of basic cleanliness have helped people avoid illness.
• D. The creation of vaccines has nearly eliminated certain diseases that were once deadly.

Correct answer: A

Rationale: Medical advances, higher standards of cleanliness, and the creation of vaccines have all significantly contributed to the increase in life expectancy over time. While human evolution plays a role in adaptation to the environment over millennia, it is not a primary factor that has led to the substantial increase in life expectancy within a few centuries. The human body's evolution is a slow process that occurs over generations, while the advancements in medical technology, cleanliness, and vaccines have had a more immediate and direct impact on improving life expectancy.

2. The function of synergists can best be described as which of the following? I. They assist primary movers in completing the specific movement II. They stabilize the point of origin and provide extra pull near the insertion III. They help prevent unwanted movement at a joint

• A. I, II
• B. I, III
• C. II, III
• D. All of the above

Correct answer: A

Rationale: Synergists are muscles that assist the primary movers (agonists) in completing specific movements (I). Additionally, they stabilize the point of origin and provide extra pull near the insertion, aiding in movement efficiency (II). While synergists may contribute to stability, their primary role is to assist in movement rather than prevent unwanted movement at a joint; hence, options I and II offer the most accurate descriptions of their function. Choice B is incorrect because synergists do not primarily help prevent unwanted movement at a joint (III). Choice C is incorrect as it combines stabilization of the point of origin and preventing unwanted movement, which is not the primary function of synergists.

3. Which of the following anatomical terms is not part of the knee?

• A. Medial collateral ligament
• B. Patella
• C. Lateral malleolus
• D. Lateral meniscus

Correct answer: C

Rationale: The lateral malleolus is a bony prominence on the lateral side of the ankle and is not part of the knee anatomy. The other options - medial collateral ligament, patella, and lateral meniscus - are all structures within the knee joint. The medial collateral ligament is located on the inner side of the knee, the patella is the kneecap, and the lateral meniscus is a cartilage structure within the knee joint. Therefore, the correct answer is C, lateral malleolus.

4. Which phenomenon describes the bending of light as it travels from one medium to another with differing densities?

• A. Reflection
• B. Refraction
• C. Diffraction
• D. Dispersion

Correct answer: B

Rationale: Refraction is the phenomenon that describes the bending of light as it travels from one medium to another with differing densities. This bending occurs due to the change in speed of light as it moves from one medium to another, causing the light rays to change direction. Reflection refers to the bouncing back of light when it hits a surface, diffraction is the bending of light around obstacles, and dispersion is the separation of light into its different colors. Therefore, in the context of light moving through different media, refraction accurately describes the observed bending phenomenon.

5. What is the product of the reaction between hydrochloric acid (HCl) and sodium hydroxide (NaOH)?

• A. NaCl + H2O
• B. NaOH + HCl
• C. Na2Cl + H2O
• D. NaClO3 + H2

Correct answer: A

Rationale: When hydrochloric acid (HCl) reacts with sodium hydroxide (NaOH), it forms sodium chloride (NaCl) and water (H2O) according to the following chemical equation: HCl + NaOH -> NaCl + H2O. Therefore, the correct answer is NaCl + H2O (Choice A). This reaction is a classic acid-base neutralization reaction where the acid (HCl) reacts with the base (NaOH) to form a salt (NaCl) and water (H2O). Choice B (NaOH + HCl) is incorrect because the order of the reactants matters in a chemical reaction, and in this case, HCl is the acid reacting with NaOH. Choices C (Na2Cl + H2O) and D (NaClO3 + H2) are incorrect because they do not represent the products of the reaction between HCl and NaOH as per the balanced chemical equation.

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