Nursing Elites

1. Which hormone, produced by the pituitary gland, stimulates the growth and development of bones, muscles, and organs?

• A. Growth hormone (GH)
• B. Thyroid-stimulating hormone (TSH)
• C. Prolactin
• D. Follicle-stimulating hormone (FSH)

Correct answer: A

Rationale: The correct answer is A: Growth hormone (GH). Growth hormone is produced by the pituitary gland and plays a crucial role in stimulating the growth and development of bones, muscles, and organs in the body. It promotes cell division, protein synthesis, and overall growth. Thyroid-stimulating hormone (TSH) stimulates the thyroid gland to produce thyroid hormones, prolactin is involved in milk production after childbirth, and follicle-stimulating hormone (FSH) is responsible for the growth and maturation of ovarian follicles in females and sperm production in males, but they do not directly impact the growth and development of bones, muscles, and organs. Therefore, growth hormone is the hormone specifically known for its role in promoting growth and development in these areas.

2. Alexandra is tasked to organize the new wing of the hospital. She was given the authority to

• A. Benevolent –authoritative
• B. Consultative
• C. Exploitive-authoritative
• D. Participative

Correct answer: D

Rationale: The correct answer is D: Participative. In a participative leadership style, Alexandra would involve the team members in decision-making and encourage their input when organizing the new wing of the hospital. This approach fosters collaboration, empowers team members, and can lead to better outcomes as everyone's perspectives are considered. Benevolent-authoritative (A) involves a leader who is kind and caring but makes decisions independently. Consultative (B) involves seeking input from team members but making the final decision independently. Exploitive-authoritative (C) involves a leader who uses their authority in a self-serving or oppressive manner. In this scenario, with the task of organizing a new wing of the hospital, a participative approach would be most effective in engaging the team and utilizing their expertise.

3. What is the formula for calculating molarity?

• A. M = n/V
• B. M = n/L
• C. M = mol/L
• D. M = mol/dm³

Correct answer: a

Rationale: All of these choices are equivalent to the original formula. The symbol "n" represents the number of moles of solute, and the symbol "V" represents the volume of the solution in liters. The symbol "L" is an abbreviation for "liters," and "dm³" is an alternative way to represent liters.

4. The "fight-or-flight" response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Adrenal glands. The "fight-or-flight" response is a physiological reaction that occurs in response to a perceived threat or danger. When this response is triggered, the adrenal glands release adrenaline, also known as epinephrine, into the bloodstream. This hormone prepares the body for action by increasing heart rate, dilating airways, and redirecting blood flow to essential organs. The thyroid gland (option A) primarily regulates metabolism, the pituitary gland (option C) controls many other hormone glands, and the pancreas (option D) is responsible for regulating blood sugar levels through the production of insulin and glucagon, but they are not directly involved in the fight-or-flight response.

5. What is the primary function of the myelin sheath that surrounds some axons in the nervous system?

• A. To initiate nerve impulses
• B. To transmit sensory information
• C. To speed up the transmission of nerve impulses
• D. To connect neurons at synapses

Correct answer: c

Rationale: The primary function of the myelin sheath that surrounds some axons in the nervous system is to speed up the transmission of nerve impulses. The myelin sheath acts as an insulating layer, which helps nerve impulses travel faster along the axon by allowing them to 'jump' from one node of Ranvier to the next, a process known as saltatory conduction. This increases the efficiency and speed of signal transmission, enabling rapid communication within the nervous system. Therefore, option C is the correct answer as it accurately describes the role of the myelin sheath in enhancing the speed of nerve impulse transmission.

6. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: This requires a double conversion: millimoles to milligrams and liters to deciliters. 1 millimole is equal to 180.15 milligrams, and 1 liter is equal to 10 deciliters. Multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol) and then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL.

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