Nursing Elites

1. The gland located on top of the kidneys responsible for regulating blood pressure and electrolyte balance is the:

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Parathyroid gland

Correct answer: D

Rationale: The correct answer is C: Adrenal gland. The adrenal glands are located on top of the kidneys and play a crucial role in regulating blood pressure and electrolyte balance by secreting hormones such as aldosterone and cortisol. The thyroid gland (A) regulates metabolism, the pituitary gland (B) controls other endocrine glands, and the parathyroid gland (D) regulates calcium levels in the blood. Therefore, the adrenal gland is specifically responsible for the functions mentioned in the question, making it the correct choice.

2. Which word best completes the sentence: "The scientist's breakthrough was met with _____ applause."

• A. thunderous
• B. scattered
• C. polite
• D. hesitant

Correct answer: A

Rationale: "Thunderous" emphasizes the intensity and volume of the applause, fitting the significance of the breakthrough.

3. The involuntary "fight-or-flight" response is controlled by the:

• A. Sympathetic nervous system
• B. Parasympathetic nervous system
• C. Enteric nervous system
• D. Sensory nervous system

Correct answer: A

Rationale: The correct answer is A: Sympathetic nervous system. The "fight-or-flight" response is an automatic physiological reaction triggered by the sympathetic nervous system in response to a perceived threat or stressor. This system prepares the body for action by increasing heart rate, dilating pupils, and redirecting blood flow to muscles. The parasympathetic nervous system, on the other hand, controls the body's "rest-and-digest" response, promoting relaxation and digestion. The enteric nervous system primarily regulates the gastrointestinal system, while the sensory nervous system is responsible for transmitting sensory information to the brain. Therefore, the sympathetic nervous system is specifically responsible for initiating the fight-or-flight response.

4. What is the process of converting ammonia, a byproduct of protein digestion, into a less toxic form?

• A. Deamination
• B. Transamination
• C. Decarboxylation
• D. Hydrolysis

Correct answer: A

Rationale: Rationale: Deamination is the process of removing an amino group from a molecule, such as converting ammonia (NH3) into a less toxic form like urea. Ammonia is a byproduct of protein digestion and needs to be converted into a less toxic form to be excreted from the body. Deamination is a key step in this process, which occurs mainly in the liver through the urea cycle. Transamination involves the transfer of an amino group from one molecule to another, not the removal of an amino group as in deamination. Decarboxylation is the removal of a carboxyl group from a molecule, and hydrolysis is the breakdown of a compound by adding water.

5. What is the name of the cartilage flap that covers the trachea during swallowing, preventing food from entering the airway?

• A. Epiglottis
• B. Glottis
• C. Larynx
• D. Pharynx

Correct answer: A

Rationale: The correct answer is A: Epiglottis. The epiglottis is a cartilage flap located at the base of the tongue that covers the trachea during swallowing. Its main function is to prevent food or liquid from entering the airway and instead directs them towards the esophagus. The glottis (option B) is the space between the vocal cords in the larynx, not a cartilage flap. The larynx (option C) is the voice box located in the throat, and the pharynx (option D) is the throat cavity connecting the mouth and the esophagus. Understanding the role of the epiglottis in protecting the airway during swallowing is crucial for maintaining proper respiratory function.

6. Lymph nodes, found along lymphatic vessels, are important for:

• A. Storing blood
• B. Producing antibodies
• C. Filtering lymph and trapping harmful substances
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Lymph nodes are important for various functions in the immune system. They filter lymph, trapping harmful substances like bacteria and viruses, which helps in preventing infections. Lymph nodes also play a crucial role in producing antibodies, which are essential for fighting off pathogens. Additionally, lymph nodes do not store blood; that is the function of the spleen. Therefore, the correct answer is D because lymph nodes perform all the mentioned functions in supporting the body's immune response.

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