Nursing Elites

1. Which of the following substances can donate a hydroxide ion (OH-) in solution?

• A. Salt
• B. Base
• C. Neutral compound
• D. Dehydrating agent

Correct answer: B

Rationale: The correct answer is B: Base. A base is a substance that can donate hydroxide ions (OH-) in solution. Bases increase the concentration of hydroxide ions by either accepting protons (H+) or donating hydroxide ions. Salts are ionic compounds made of cations and anions, which do not directly donate hydroxide ions. Neutral compounds do not significantly affect the concentration of hydroxide ions. Dehydrating agents are substances that remove water molecules from other compounds, unrelated to donating hydroxide ions.

2. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

3. Which structure in the respiratory system is responsible for the exchange of oxygen and carbon dioxide between the lungs and the bloodstream?

• A. Trachea
• B. Bronchi
• C. Alveoli
• D. Bronchioles

Correct answer: C

Rationale: The alveoli are tiny air sacs in the lungs where the exchange of oxygen and carbon dioxide occurs. Oxygen from the air diffuses into the bloodstream through the alveoli, while carbon dioxide from the bloodstream diffuses into the alveoli to be exhaled. The trachea, bronchi, and bronchioles are essential parts of the airway system responsible for transporting air to and from the lungs but do not directly participate in the gas exchange process. Therefore, option C, the alveoli, is the correct answer for the structure responsible for the exchange of oxygen and carbon dioxide between the lungs and the bloodstream.

4. What is the primary hormone released by the parathyroid glands?

• A. Insulin
• B. Calcitonin
• C. Parathyroid hormone (PTH)
• D. Thyroxine

Correct answer: C

Rationale: The primary hormone released by the parathyroid glands is parathyroid hormone (PTH). PTH plays a crucial role in regulating calcium and phosphorus levels in the body by increasing calcium levels in the blood through various mechanisms, such as promoting calcium release from bones and increasing calcium absorption in the intestines. Insulin is produced by the pancreas and regulates blood sugar levels, calcitonin is produced by the thyroid gland and helps lower blood calcium levels, and thyroxine is a hormone produced by the thyroid gland that regulates metabolism. Therefore, choices A, B, and D are incorrect as they are not the primary hormone released by the parathyroid glands.

5. Which of the following structures is responsible for producing insulin?

• A. Liver
• B. Pancreas
• C. Gallbladder
• D. Spleen

Correct answer: B

Rationale: The correct answer is B: Pancreas. The pancreas is the organ responsible for producing insulin. Insulin is a hormone that helps regulate blood sugar levels by allowing cells to take in glucose from the bloodstream. The liver (choice A) plays a role in regulating blood sugar levels through glycogen storage and release but does not produce insulin. The gallbladder (choice C) stores bile produced by the liver to aid in digestion and has no direct involvement in insulin production. The spleen (choice D) is involved in immune function and blood storage but not in the production of insulin.

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