Nursing Elites

1. The shoulder is _________ to the elbow.

• A. posterior
• B. proximal
• C. distal
• D. medial

Correct answer: B

Rationale: Proximal refers to a position closer to the point of attachment or origin. In this case, the shoulder is closer to the point of attachment to the body compared to the elbow, making it proximal to the elbow. 'Posterior' refers to the back side of the body, 'distal' means farther away from the point of attachment, and 'medial' refers to the middle of the body. These terms do not accurately describe the relationship between the shoulder and the elbow in this context.

2. Which hormone is responsible for regulating the sleep-wake cycle?

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

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, regulates the sleep-wake cycle by responding to light and darkness in the environment. It plays a crucial role in signaling the body when it's time to sleep and wake up, helping to establish and maintain a healthy circadian rhythm. Thyroxine, Insulin, and Cortisol do not directly regulate the sleep-wake cycle, making them incorrect choices for this question.

3. Which is a secondary defense for the body against pathogens?

• A. Tears
• B. Urine
• C. Inflammation
• D. Mucus

Correct answer: C

Rationale: Inflammation is a secondary defense mechanism for the body against pathogens. When tissues are injured or infected, inflammation occurs as a protective response involving increased blood flow, white blood cell migration, and tissue repair. This process helps contain and eliminate pathogens, preventing them from spreading further in the body. Tears (Choice A) are a primary defense containing lysozyme and other antimicrobial agents. Urine (Choice B) is typically considered a non-specific defense mechanism due to its flushing action in the urinary tract. Mucus (Choice D) acts as a physical barrier and traps pathogens, also considered a primary defense mechanism.

4. Which type of blood cell is involved in clotting?

• A. Red blood cells
• B. White blood cells
• C. Platelets
• D. Plasma

Correct answer: C

Rationale: Platelets, also known as thrombocytes, are cell fragments that play a crucial role in blood clotting and wound healing. They are responsible for forming blood clots to stop bleeding when a blood vessel is injured, making them the correct choice in this context. Red blood cells (Choice A) are primarily involved in oxygen transport, white blood cells (Choice B) are part of the immune system, and plasma (Choice D) is the liquid component of blood that carries various substances.

5. What is the primary function of the kidneys in the urinary system?

• A. Regulating blood pressure
• B. Filtering blood to remove waste
• C. Producing red blood cells
• D. Regulating electrolyte balance

Correct answer: B

Rationale: The primary function of the kidneys in the urinary system is to filter blood to remove waste products and excess fluids, which are then excreted as urine. Kidneys act as a filtration system, removing waste like urea, excess salts, and toxins. While the kidneys do play a role in regulating blood pressure by secreting renin and maintaining electrolyte balance by adjusting the levels of sodium, potassium, and other ions in the blood, their main and essential function is filtration and waste removal, making choice B the correct answer.

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