Nursing Elites

1. Where does primary peristalsis occur?

• A. Esophagus
• B. Stomach
• C. Nervous system
• D. Small intestine

Correct answer: A

Rationale: Primary peristalsis occurs in the esophagus. Peristalsis is the coordinated muscular contractions that propel food through the digestive tract. In the esophagus, primary peristalsis is the involuntary wave-like contractions that push food from the mouth to the stomach. It is the natural and automatic process that occurs to facilitate the movement of food during digestion. The stomach (choice B), nervous system (choice C), and small intestine (choice D) are not the primary sites where peristalsis occurs in the digestive system.

2. Which hormone is produced by the pancreas to lower blood glucose levels?

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

Correct answer: B

Rationale: The correct answer is B: Insulin. Insulin, produced by the pancreas, is the hormone responsible for lowering blood glucose levels. It achieves this by promoting the uptake of glucose into cells, thereby reducing the concentration of glucose in the bloodstream. Choice A, Glucagon, is actually a hormone produced by the pancreas that works to raise blood glucose levels by stimulating the liver to release stored glucose. Choice C, Cortisol, is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and regulation of metabolism. Choice D, Melatonin, is a hormone produced by the pineal gland that regulates sleep-wake cycles and is not directly involved in blood glucose level regulation.

3. Which part of the brain controls involuntary actions such as breathing and heart rate?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Hypothalamus

Correct answer: C

Rationale: The medulla oblongata, located at the base of the brainstem, controls essential involuntary actions such as breathing, heart rate, and blood pressure. It plays a crucial role in maintaining vital functions necessary for survival. The cerebrum is responsible for voluntary actions, conscious thought, and sensory processing, making it an incorrect choice. The cerebellum primarily coordinates movement, balance, and posture, not involuntary actions like breathing and heart rate. The hypothalamus regulates body temperature, thirst, hunger, and controls the endocrine system, but it is not directly responsible for controlling breathing and heart rate.

4. If an impulse is traveling from a sense receptor toward the spinal cord, it is traveling along what type of neuron?

• A. Motor neuron
• B. Sensory neuron
• C. Interneuron
• D. Bipolar neuron

Correct answer: B

Rationale: The correct answer is B: Sensory neuron. A sensory neuron is responsible for carrying impulses from sensory receptors to the spinal cord. These neurons transmit information about external stimuli from the periphery to the central nervous system for processing and response. Choice A, Motor neuron, is incorrect as motor neurons carry signals from the central nervous system to muscles and glands, enabling movement and secretion. Choice C, Interneuron, is incorrect as interneurons act as connectors between sensory and motor neurons, primarily facilitating communication between the two. Choice D, Bipolar neuron, is incorrect as bipolar neurons are specialized sensory neurons found in some sensory organs like the retina of the eye and the olfactory epithelium.

5. What is the function of the coronary artery?

• A. It carries oxygenated blood to the heart muscle.
• B. It carries deoxygenated blood to the lungs.
• C. It distributes blood to the body.
• D. It supplies blood to the heart muscle.

Correct answer: D

Rationale: The correct answer is D: 'It supplies blood to the heart muscle.' The coronary artery's main function is to supply oxygenated blood to the heart muscle, ensuring that the heart receives the necessary nutrients and oxygen it needs to function properly. Choices A, B, and C are incorrect because the coronary artery specifically delivers oxygenated blood to the heart muscle, not deoxygenated blood to the lungs or blood to the rest of the body.

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