Nursing Elites

1. In negative feedback mechanisms, changes away from the normal state

• A. stimulate changes in the same direction
• B. inhibit all body reactions
• C. stimulate changes in the opposite direction
• D. stimulate a reduction in all body requirements

Correct answer: C

Rationale: In negative feedback mechanisms, changes away from the normal state stimulate changes in the opposite direction. This is a fundamental concept in biological systems where the response to a stimulus opposes the initial change, helping to maintain homeostasis. Choice A is incorrect because negative feedback does not stimulate changes in the same direction. Choice B is incorrect because negative feedback does not inhibit all body reactions, but rather specific responses. Choice D is incorrect because negative feedback does not stimulate a reduction in all body requirements, but rather adjusts specific functions to restore balance.

2. Which of the following is not an example of a homeostatic mechanism in the human body?

• A. Shivering when the body temperature falls below normal.
• B. Increasing heart rate and force of contraction when blood pressure falls.
• C. Retaining fluid excessively.
• D. Secreting insulin after a meal to return blood sugar concentration toward normal.

Correct answer: C

Rationale: The correct answer is C. Homeostatic mechanisms aim to maintain internal stability within the body. Choices A, B, and D all represent examples of homeostatic mechanisms. Shivering helps generate heat to raise body temperature back to normal levels. Increasing heart rate and force of contraction work to restore blood pressure. Insulin secretion after a meal helps regulate blood sugar levels. On the other hand, retaining fluid excessively can lead to fluid imbalance rather than maintaining internal stability, making it the incorrect choice.

3. Calcium concentration in the blood is controlled by which of the following glands?

• A. Hypothalamus gland
• B. Thyroid gland
• C. Pituitary gland
• D. Parathyroid glands

Correct answer: D

Rationale: The correct answer is Parathyroid glands. The parathyroid glands are responsible for regulating calcium levels in the blood by secreting parathyroid hormone (PTH). PTH helps increase calcium levels in the blood when they are too low. The other glands listed, such as the Hypothalamus, Thyroid, and Pituitary glands, do not directly control calcium concentration in the blood.

4. Which of the following structures, located at the end of the ear canal, vibrates when sound waves strike it?

• A. Acoustic meatus
• B. Cochlea
• C. Eustachian tube
• D. Tympanic membrane

Correct answer: D

Rationale: The correct answer is the Tympanic membrane. The tympanic membrane, also known as the eardrum, is located at the end of the ear canal and vibrates when sound waves strike it. This vibration is then transmitted to the ossicles in the middle ear, which amplify and transmit the sound to the inner ear. Choice A, the Acoustic meatus, is incorrect as it is the ear canal itself, not the structure that vibrates. Choice B, the Cochlea, is responsible for translating sound vibrations into electrical signals but is not located at the end of the ear canal. Choice C, the Eustachian tube, is responsible for equalizing pressure between the middle ear and the atmosphere and is not involved in vibration from sound waves.

5. Which of the following electrolytes plays an essential role in the clotting of blood?

• A. sodium
• B. magnesium
• C. calcium
• D. potassium

Correct answer: C

Rationale: Calcium plays an essential role in the clotting of blood by being involved in several steps of the coagulation process. It is necessary for the conversion of prothrombin to thrombin, which is a crucial step in forming blood clots. Sodium, magnesium, and potassium do not directly participate in the clotting cascade and are not associated with the coagulation process. Therefore, the correct answer is calcium.

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