Nursing Elites

1. 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.

2. What is the most useful application of ultrasonography for diagnostic examination?

• A. dense organs, such as bones.
• B. air-filled organs, such as lungs.
• C. soft internal structures, such as fetuses.
• D. microscopic structures.

Correct answer: C

Rationale: Ultrasonography is a medical imaging technique that uses sound waves to visualize internal body structures. It is particularly effective for examining soft tissues like organs, blood vessels, and fetuses. Choice A is incorrect because bones are better visualized using techniques like X-rays. Choice B is incorrect as air-filled organs like lungs are not well visualized with ultrasound due to air being a poor conductor of sound waves. Choice D is incorrect since ultrasonography cannot visualize structures at a microscopic level, as it is used for larger internal structures.

3. Why are anatomy and physiology difficult to separate?

• A. Physiological functions depend on anatomical structures.
• B. Physiological functions in an organism are ongoing.
• C. Body parts provide structural support.
• D. Our understanding of physiology is changing more than our understanding of anatomy.

Correct answer: A

Rationale: Anatomy and physiology are difficult to separate because physiological functions depend on anatomical structures. The correct answer highlights the interdependence between the two disciplines; physiological functions are carried out by anatomical structures. Choice B is incorrect as it only states a characteristic of physiological functions without addressing the relationship with anatomy. Choice C is incorrect as it talks about body parts providing structural support, which is not directly related to the interdependence of anatomy and physiology. Choice D is incorrect because the rate of change in understanding does not necessarily dictate the difficulty of separating the two disciplines.

4. Which of the following electrolytes plays an essential role in the clotting of blood?

• A. sodium
• B. magnesium
• C. calcium
• D. potassium

Correct answer: C

Rationale: Calcium plays an essential role in the clotting of blood by being involved in several steps of the coagulation process. It is necessary for the conversion of prothrombin to thrombin, which is a crucial step in forming blood clots. Sodium, magnesium, and potassium do not directly participate in the clotting cascade and are not associated with the coagulation process. Therefore, the correct answer is calcium.

5. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.

• A. the age of the sperm.
• B. the age of her eggs.
• C. her risk of developing diabetes.
• D. her cholesterol level, not her appearance.

Correct answer: B

Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.

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