Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. What term describes the functional unit of a skeletal muscle responsible for muscle contraction?

• A. Myofibril
• B. Sarcomere
• C. Tendon
• D. Myoglobin

Correct answer: B

Rationale: The correct answer is B, 'Sarcomere.' The sarcomere is indeed the functional unit of a skeletal muscle responsible for muscle contraction. It is composed of actin and myosin filaments that interact to generate muscle contraction. Choice A, 'Myofibril,' is incorrect as myofibrils are composed of sarcomeres, not the functional units themselves. Choice C, 'Tendon,' is incorrect as tendons connect muscles to bones and do not directly participate in muscle contraction. Choice D, 'Myoglobin,' is incorrect as myoglobin is a protein that stores oxygen in muscle cells and is not directly involved in muscle contraction.

3. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

4. What is the name of the outermost layer of the skin?

• A. Dermis
• B. Epidermis
• C. Subcutaneous tissue
• D. Hypodermis

Correct answer: B

Rationale: The correct answer is B: Epidermis. The epidermis is the outermost layer of the skin, providing a protective barrier against external factors. The dermis is situated beneath the epidermis and contains structures like blood vessels and hair follicles. Subcutaneous tissue, also known as the hypodermis, lies below the dermis and consists mainly of fat tissue, serving functions such as insulation and energy storage. Therefore, choices A, C, and D are incorrect as they do not represent the outermost layer of the skin.

5. Which type of blood vessel carries blood away from the heart?

• A. Vein
• B. Artery
• C. Capillary
• D. Venule

Correct answer: B

Rationale: The correct answer is B: Artery. Arteries carry oxygen-rich blood away from the heart to various parts of the body. Veins, on the other hand, carry blood back to the heart. Capillaries are tiny blood vessels where oxygen and nutrients are exchanged with tissues. Venules are small veins that collect blood from capillaries, not from the heart, making them incorrect in this context.

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