Nursing Elites

1. The adrenal cortex produces a group of steroid hormones called corticosteroids. What is a MAJOR function of corticosteroids?

• A. Regulate insulin sensitivity and blood sugar levels
• B. Control blood pressure and electrolyte balance
• C. Stimulate the immune system and inflammatory response
• D. Promote growth and development during puberty

Correct answer: B

Rationale: Corticosteroids, produced by the adrenal cortex, primarily function to control blood pressure and electrolyte balance. One of the key corticosteroids, aldosterone, plays a crucial role in regulating sodium and potassium levels in the body. This regulation is essential for maintaining blood pressure and electrolyte balance. Choices A, C, and D are incorrect because corticosteroids do not primarily regulate insulin sensitivity and blood sugar levels, stimulate the immune system and inflammatory response, or promote growth and development during puberty. While corticosteroids can have effects on insulin sensitivity, immune response, and growth, their major role is in maintaining blood pressure and electrolyte balance.

2. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

3. Which of the following is NOT a function of progesterone in the female reproductive system?

• A. expression of secondary sexual characteristics, such as enlarged breasts
• B. stimulation of milk production in the breasts
• C. regulation and preparation of the endometrial lining of the uterus for potential pregnancy
• D. inhibition of contractions of the uterus as the ovum is released

Correct answer: A

Rationale: Progesterone plays a key role in the regulation and preparation of the endometrial lining of the uterus for potential pregnancy. It also inhibits contractions of the uterus as the ovum is released and stimulates milk production in the breasts. However, the expression of secondary sexual characteristics, such as enlarged breasts, is primarily influenced by estrogen, not progesterone. Therefore, choice A is the correct answer as it is not a function directly attributed to progesterone in the female reproductive system.

4. A rocket blasts off from Earth. What is the main force propelling the rocket upwards?

• A. Gravitational force
• B. Air resistance
• C. Thrust from the rocket engine
• D. Normal force from the launchpad

Correct answer: C

Rationale: The main force propelling the rocket upwards is the thrust from the rocket engine. Thrust is the force produced by the rocket engine pushing exhaust gases in the opposite direction, following Newton's third law of motion (action and reaction). This thrust overcomes the force of gravity and allows the rocket to lift off and move upwards. Choice A, gravitational force, is incorrect as gravity pulls objects towards the Earth, and in this case, the rocket is moving against gravity. Choice B, air resistance, is incorrect because it opposes the motion of the rocket and is more relevant during descent rather than ascent. Choice D, normal force from the launchpad, is incorrect as this force acts perpendicular to the surface and does not propel the rocket upwards.

5. Which of the following functional groups is present in carboxylic acids?

• A. Carbonyl
• B. Hydroxyl
• C. Carboxyl
• D. Aldehyde

Correct answer: C

Rationale: Carboxylic acids contain the carboxyl functional group, which consists of a carbonyl group (C=O) and a hydroxyl group (-OH) attached to the same carbon atom. The carboxyl group is represented as -COOH in the molecular structure of carboxylic acids. Therefore, the correct functional group present in carboxylic acids is the carboxyl group, making option C the correct choice. Option A, 'Carbonyl,' is incorrect as it only refers to the C=O group without the -OH component present in carboxylic acids. Option B, 'Hydroxyl,' is incorrect as it only represents the -OH group without the carbonyl group. Option D, 'Aldehyde,' is incorrect as it refers to a different functional group with a carbonyl group attached to a hydrogen atom, not the carboxyl group found in carboxylic acids.

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