Nursing Elites

1. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

2. Which organ system is primarily responsible for maintaining temperature control?

• A. The skeletal system
• B. The digestive system
• C. The nervous system
• D. The integumentary system

Correct answer: D

Rationale: The integumentary system, which includes the skin, hair, and nails, is primarily responsible for maintaining temperature control in the body. The skin helps regulate body temperature through processes like sweating to cool down and shivering to generate heat. Additionally, blood vessels in the skin can dilate or constrict to control the amount of heat lost or retained by the body. This system plays a crucial role in maintaining homeostasis and keeping the body at a stable temperature. The skeletal system (Choice A) provides structural support and protection to the body but is not directly involved in temperature regulation. The digestive system (Choice B) is responsible for breaking down food and absorbing nutrients, not for regulating body temperature. The nervous system (Choice C) controls body functions through electrical impulses but is not the primary system responsible for temperature control.

3. Which hormone is released by the pancreas to lower blood glucose levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: A

Rationale: Insulin is the hormone released by the pancreas to lower blood glucose levels. Insulin facilitates the uptake of glucose into cells, helping to decrease blood glucose levels and store excess glucose for energy or future use. Glucagon, on the other hand, raises blood glucose levels by promoting the breakdown of glycogen into glucose. Cortisol and somatostatin do not directly regulate blood glucose levels in the same manner as insulin and glucagon.

4. Which type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

5. How do the digestive system and urinary system work together?

• A. The digestive system controls the function of the ureter.
• B. The urinary system removes toxins from the products of digestion.
• C. The digestive system manufactures hormones that influence urination.
• D. The urinary system eliminates some waste products of digestion.

Correct answer: D

Rationale: The correct answer is D because the urinary system eliminates some waste products of digestion. After digestion in the digestive system, nutrients are absorbed into the bloodstream, and waste products are transported to the kidneys via the urinary system to be excreted as urine. This process helps eliminate waste products generated during digestion, illustrating the coordination between the digestive and urinary systems. Choices A, B, and C are incorrect. Choice A is incorrect as the ureter is part of the urinary system, not controlled by the digestive system. Choice B is incorrect as the urinary system primarily removes metabolic waste, not toxins from digestion. Choice C is incorrect because the digestive system mainly aids in digestion and nutrient absorption, not hormone production affecting urination.

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