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. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

3. Based on the context, which of the following is the meaning of the word match in the sentence?

• A. a competitive event
• B. a suitable pair
• C. a slender piece of wood used to start a fire
• D. a prospective marriage partner

Correct answer: A

Rationale: In the context of the sentence, the word 'match' refers to a competitive event, likely a sports match or game that Victoria participated in and won easily. This is the most appropriate interpretation based on the context provided. Choices B, C, and D are incorrect as they do not fit the context of the sentence. 'A suitable pair,' 'a slender piece of wood used to start a fire,' and 'a prospective marriage partner' do not relate to Victoria winning a match in a sports context.

4. What is the name of the bone marrow cavity in the long bones where red blood cells are produced?

• A. Periosteum
• B. Diaphysis
• C. Medullary cavity
• D. Epiphysis

Correct answer: C

Rationale: The medullary cavity is the correct answer. It is the central cavity within the shafts of long bones where red bone marrow is located, responsible for the production of red blood cells. The periosteum is the outer layer of bone that provides nourishment and participates in bone repair. The diaphysis refers to the shaft of a long bone that contains yellow bone marrow. The epiphysis is the end of a long bone involved in joint articulation and contains red bone marrow in children for blood cell production.

5. What is the term for a solution that has exactly the same concentration of solute as another solution?

• A. Saturated solution
• B. Unsaturated solution
• C. Isotonic solution
• D. Concentrated solution

Correct answer: C

Rationale: An isotonic solution is a solution that has the same concentration of solute as another solution. When cells are placed in an isotonic solution, there is no net movement of water across the cell membrane, maintaining equilibrium. Choice A, a saturated solution, refers to a solution that contains the maximum amount of solute that can be dissolved at a given temperature. Choice B, an unsaturated solution, is a solution that contains less solute than a saturated solution under the same conditions. Choice D, a concentrated solution, is a solution with a high amount of solute compared to the solvent.

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