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 is an example of a chemical change?

• A. Dissolving sugar in water
• B. Boiling water
• C. Rusting iron
• D. Crushing ice

Correct answer: C

Rationale: Rusting iron is an example of a chemical change because it involves a chemical reaction where iron reacts with oxygen in the presence of water to form iron oxide (rust). This reaction results in a change in the chemical composition of the iron, unlike dissolving sugar in water, boiling water, or crushing ice, which are physical changes. Dissolving sugar in water is a physical change as sugar molecules remain unchanged but disperse in water. Boiling water is also a physical change as water changes its state from liquid to gas due to heat. Crushing ice is a physical change as the solid ice changes its physical form without altering its chemical composition.

3. What are Merkel cells, located in the epidermis, specialized for?

• A. Melanin production
• B. Temperature sensation
• C. Touch perception
• D. Immune defense

Correct answer: C

Rationale: Merkel cells are specialized touch receptors located in the epidermis of the skin. Their primary function is to perceive light touch and pressure. They play a crucial role in the sensory perception of touch stimuli. Option A, melanin production, is incorrect because Merkel cells are not involved in producing melanin. Option B, temperature sensation, is incorrect as Merkel cells are not specialized for sensing temperature. Option D, immune defense, is also incorrect as Merkel cells do not have a role in immune defense mechanisms.

4. What is the diastole cycle in the heart?

• A. Relaxation of the heart
• B. Contraction of the heart
• C. Pulse rate of the heart
• D. Blood circulation

Correct answer: A

Rationale: The diastole cycle in the heart refers to the relaxation phase, where the heart chambers relax and fill with blood. This phase is crucial for the heart to refill and prepare for the next contraction (systole), which pumps blood out of the heart. Therefore, the correct answer is choice A, 'Relaxation of the heart.' Choices B, C, and D are incorrect in the context of cardiac physiology. Choice B, 'Contraction of the heart,' refers to systole, the phase of heart contraction. Choice C, 'Pulse rate of the heart,' is related to the number of heartbeats per minute, not the diastole cycle specifically. Choice D, 'Blood circulation,' is a broader term that encompasses the entire circulatory system rather than focusing on the heart's specific relaxation phase.

5. How many grams of solid CaCO3 are needed to make 600 mL of a 35 M solution? The atomic masses for the elements are as follows: Ca = 40.1 g/mol; C = 12.01 g/mol; O = 16.00 g/mol.

• A. 18.3 g
• B. 19.7 g
• C. 21.0 g
• D. 24.2 g

Correct answer: B

Rationale: 1. First, calculate the molar mass of CaCO3 by adding the atomic masses of Ca, C, and 3 O atoms: 40.1 + 12.01 + (3 * 16.00) = 100.13 g/mol. 2. Calculate the number of moles in 600 mL of a 35 M solution: 600 mL * 35 mol/L = 21,000 mmol. 3. Convert moles to grams using the molar mass of CaCO3: 21,000 mmol * (100.13 g/mol / 1000 mmol/mol) = 2,102.73 g. 4. Therefore, you would need 19.7 g of solid CaCO3 to make 600 mL of a 35 M solution.

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