Nursing Elites

1. Which of the following substances is involved in the destruction of ingested pathogens?

• A. lymphatic fluid
• B. stomach acid
• C. bicarbonate
• D. lipase

Correct answer: B

Rationale: The correct answer is stomach acid. Stomach acid, also known as gastric acid, plays a crucial role in destroying ingested pathogens due to its high acidity. The low pH of stomach acid helps to kill bacteria and other pathogens that may be present in the food we consume. Lymphatic fluid is involved in immune function and fat absorption, not pathogen destruction. Bicarbonate is a base that neutralizes stomach acid to prevent damage to the stomach lining. Lipase is an enzyme that aids in the digestion of fats but is not involved in pathogen destruction.

2. Lowering the hand by straightening the elbow affects which of the following muscles?

• A. biceps brachii
• B. triceps brachii
• C. brachialis
• D. brachioradialis

Correct answer: B

Rationale: Lowering the hand by straightening the elbow is the action of extending the forearm, which is primarily done by the triceps brachii muscle. The triceps brachii is the main extensor muscle of the elbow joint. The biceps brachii is responsible for flexing the elbow, not extending it, making it an incorrect choice. Brachialis is a strong elbow flexor, and brachioradialis helps in flexing the elbow and pronating the forearm, so they are not the primary muscles involved in straightening the elbow.

3. Is the elbow distal to the wrist?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: B

Rationale: The correct answer is False. In anatomical terms, 'distal' means farther away from the center of the body or the point of attachment. The elbow is proximal to the wrist because it is closer to the center of the body. Therefore, the statement that the elbow is distal to the wrist is incorrect. Choice A is incorrect because the elbow is not distal to the wrist. Choice C is incorrect as the anatomical relationship between the elbow and wrist can be determined. Choice D is incorrect as there is a definitive answer to this anatomical question.

4. 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.

5. Does aging begin in the fetus?

• A. Yes
• B. No
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: Aging does begin in the fetus. The aging process starts even before birth due to cellular changes and the passage of time. The cells in a fetus undergo growth, division, and aging from the moment of conception. This continual process of cellular aging continues throughout life. Therefore, the statement is true. Choice B is incorrect because aging does initiate during the fetal stage. Choice C is incorrect as the process of aging commences in the fetus. Choice D is incorrect as the correct answer is 'Yes,' indicating that aging does start in the fetus.

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