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. Which of the following conditions is characterized by a wasting or decrease in muscle mass?

• A. Hypertrophy
• B. Atrophy
• C. Spasticity
• D. Myopathy

Correct answer: B

Rationale: Atrophy is the correct answer as it is characterized by a wasting or decrease in muscle mass. Hypertrophy, on the other hand, refers to an increase in muscle size. Spasticity is associated with increased muscle tone due to continuous contraction of muscles. Myopathy, on the other hand, is a broad term used to describe various muscle diseases affecting muscle tissue, which may or may not involve muscle wasting.

3. Which respiratory structure is responsible for the production of mucus to trap particles and for the movement of cilia to sweep mucus and trapped particles out of the respiratory tract?

• A. Trachea
• B. Larynx
• C. Bronchi
• D. Respiratory epithelium

Correct answer: D

Rationale: The respiratory epithelium is the correct answer because it is the tissue lining the respiratory tract responsible for producing mucus to trap particles and containing cilia that sweep the mucus and trapped particles out of the respiratory tract. The trachea, larynx, and bronchi are all structures within the respiratory system but do not specifically carry out the functions described in the question. The trachea is a passage for air, the larynx is involved in sound production and protecting the airway, and the bronchi are airway passages that branch from the trachea to the lungs. Only the respiratory epithelium fits the description of producing mucus and utilizing cilia for particle removal in the respiratory tract.

4. Which of the following is specialized tissue in the right atrium that acts as the heart’s natural pacemaker by generating the electrical signal for the heartbeat?

• A. sinus venosus
• B. sinoatrial node
• C. atrioventricular node
• D. tricuspid valve

Correct answer: B

Rationale: The sinoatrial node, often referred to as the SA node, is specialized tissue located in the right atrium of the heart. It functions as the heart's natural pacemaker by generating the electrical signal that initiates each heartbeat. This electrical signal spreads to the atrial muscles and then to the atrioventricular node, causing the heart to contract rhythmically and efficiently. The other options listed do not serve as the heart's natural pacemaker responsible for generating the electrical signal for the heartbeat. Sinus venosus is a developmental structure in fetal hearts, the atrioventricular node delays the electrical signal, and the tricuspid valve is a heart valve that prevents backflow of blood from the right ventricle to the right atrium.

5. Which type of joint connects the bones of the skull?

• A. Synovial
• B. Fibrous
• C. Cartilaginous
• D. Ball-and-socket

Correct answer: B

Rationale: Fibrous joints connect the bones of the skull. These joints are immovable or provide very limited movement, providing stability and protection to the brain. Synovial joints (Choice A) are found in the limbs and allow for a wide range of movements. Cartilaginous joints (Choice C) are connected by cartilage and allow limited movement. Ball-and-socket joints (Choice D) allow for a wide range of motion, such as the hip and shoulder joints, but they do not connect the bones of the skull.

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