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 process by which an organism adapts to its environment through inherited traits is known as

• A. Acclimatization
• B. Behavioral ecology
• C. Natural selection
• D. Niche partitioning

Correct answer: C

Rationale: A) Acclimatization refers to the short-term physiological adjustments an individual organism makes in response to changes in its environment. This process is reversible and does not involve inherited traits. B) Behavioral ecology is the study of how behavior contributes to an organism's survival and reproduction in its environment. While behavior can be influenced by natural selection, it is not the process by which an organism adapts through inherited traits. C) Natural selection is the process by which organisms with advantageous traits for their environment are more likely to survive, reproduce, and pass on those traits to their offspring. Over time, this leads to the adaptation of populations to their environments. D) Niche partitioning is the process by which species divide resources to reduce competition within an ecosystem. While this can influence the evolution of species, it is not the process by which an organism adapts through inherited traits.

3. Which of the following colligative properties refers to the elevation of the boiling point of a solution?

• A. Freezing point depression
• B. Vapor pressure lowering
• C. Osmotic pressure
• D. Boiling point elevation

Correct answer: D

Rationale: The correct answer is D, 'Boiling point elevation.' Boiling point elevation is a colligative property that describes the increase in the boiling point of a solvent when a non-volatile solute is added to it. This occurs because the presence of solute particles in the solvent lowers the vapor pressure of the solution, requiring a higher temperature to reach the same vapor pressure as the pure solvent. Choices A, B, and C are incorrect. Freezing point depression refers to the lowering of the freezing point of a solution, vapor pressure lowering is the reduction in vapor pressure due to the presence of solute particles, and osmotic pressure is the pressure required to prevent the flow of solvent molecules across a semipermeable membrane in osmosis.

4. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

5. Which of the following nucleic acids carries amino acids to organelles called ribosomes, where the amino acids are linked one by one to produce a polypeptide?

• A. DNA
• B. mRNA
• C. rRNA
• D. tRNA

Correct answer: D

Rationale: tRNA is the correct answer as it carries amino acids to the ribosomes during protein synthesis. Transfer RNA (tRNA) plays a crucial role in protein synthesis by bringing specific amino acids to the ribosome according to the mRNA sequence. Once at the ribosome, the amino acids are linked together to form a polypeptide chain. This process is essential for the creation of proteins in the cell, highlighting the significance of tRNA in the translation process. Choice A, DNA, is incorrect as DNA does not directly participate in protein synthesis. Choice B, mRNA, is incorrect as mRNA carries the genetic information from DNA to the ribosome but does not directly carry amino acids. Choice C, rRNA, is incorrect as ribosomal RNA is a component of the ribosome structure and is involved in protein synthesis but does not carry amino acids like tRNA.

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