Nursing Elites

1. What two factors enable some intercellular chemical signals to diffuse across cell membranes and bind to intracellular receptors?

• A. They are small and soluble.
• B. They are large and soluble.
• C. They are small and insoluble.
• D. They are large and insoluble.

Correct answer: A

Rationale: The correct answer is A: 'They are small and soluble.' Small and soluble molecules can easily pass through cell membranes and bind to intracellular receptors. Being small allows them to pass through the membrane, while being soluble enables them to dissolve in the aqueous environment inside the cell. Choice B is incorrect because large molecules typically cannot pass through the cell membrane easily. Choices C and D are incorrect because insoluble molecules would not dissolve in the aqueous environment inside the cell, hindering their ability to bind to intracellular receptors.

2. Which hormone stimulates the release of calcium from bones and increases blood calcium levels?

• A. Parathyroid hormone (PTH)
• B. Calcitonin
• C. Growth hormone
• D. Testosterone

Correct answer: A

Rationale: Parathyroid hormone (PTH) is the correct answer. PTH stimulates the release of calcium from bones, leading to increased blood calcium levels. It acts on the bones to release calcium into the bloodstream, facilitates the kidneys' reabsorption of calcium, and triggers vitamin D activation to boost calcium absorption from the intestines. Choice B, Calcitonin, is incorrect as it works in opposition to PTH by decreasing blood calcium levels through inhibiting calcium release from bones. Choices C and D, Growth hormone and Testosterone, are not directly involved in calcium homeostasis and do not regulate blood calcium levels through bone calcium release mechanisms.

3. What are the structural and functional units responsible for creating and transporting urine, located in the cortex of the kidney?

• A. Glomerulus
• B. Nephrons
• C. Loops of Henle
• D. Distal tubules

Correct answer: B

Rationale: The correct answer is 'Nephrons.' Nephrons are the structural and functional units of the kidneys responsible for creating and transporting urine. Each kidney contains thousands of nephrons located in the cortex and medulla. The nephron consists of the renal corpuscle, which includes the glomerulus, and the renal tubule, which consists of the proximal tubule, loops of Henle, and distal tubule. While the glomerulus, loops of Henle, and distal tubules are all parts of the nephron, the nephrons as a whole are specifically responsible for creating and transporting urine.

4. A patient's body is not properly filtering blood. Which of the following body parts is most likely malfunctioning?

• A. Medulla
• B. Heart
• C. Nephrons
• D. Renal cortex

Correct answer: C

Rationale: Nephrons are the functional units of the kidneys responsible for filtering blood and removing waste products to form urine. If a patient's body is not properly filtering blood, it is most likely due to dysfunction or impairment in the nephrons of the kidneys. The heart is responsible for pumping blood, not filtering it, making choice B incorrect. The medulla and renal cortex are specific parts of the kidney but do not directly perform the filtration function carried out by the nephrons, making choices A and D incorrect.

5. What controls the involuntary, rhythmic contractions of the heart muscle?

• A. Lungs
• B. Brain
• C. Spinal cord
• D. Sinoatrial node (located within the heart)

Correct answer: D

Rationale: The correct answer is D: Sinoatrial node (located within the heart). The involuntary, rhythmic contractions of the heart muscle are controlled by a specialized group of cells located within the heart called the sinoatrial node (SA node). The SA node acts as the heart's natural pacemaker, producing electrical impulses that regulate the heart rate and synchronize the contractions of the heart muscle. Choices A, B, and C (Lungs, Brain, Spinal cord) are not responsible for directly influencing the rhythmic contractions of the heart muscle.

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