Nursing Elites

1. What is the largest part of the brain and is responsible for higher functions like thinking, memory, and learning?

• A. Brainstem
• B. Cerebellum
• C. Cerebrum
• D. Thalamus

Correct answer: C

Rationale: The cerebrum is the correct answer. It is the largest part of the brain and is responsible for higher functions like thinking, memory, and learning. The brainstem (option A) is responsible for basic life functions such as breathing and heart rate, not higher cognitive functions. The cerebellum (option B) is responsible for coordination and balance, not higher cognitive functions. The thalamus (option D) acts as a relay station for sensory information, but it is not the largest part of the brain nor responsible for higher cognitive functions.

2. Which hormone, produced by the pancreas, is released in response to low blood sugar levels and stimulates the release of glucose into the bloodstream?

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

Correct answer: B

Rationale: Glucagon is the hormone produced by the pancreas that is released in response to low blood sugar levels. It acts to stimulate the release of glucose into the bloodstream by promoting the breakdown of glycogen in the liver. Insulin, conversely, is released in response to high blood sugar levels and promotes the uptake of glucose by cells. Cortisol is a steroid hormone produced by the adrenal glands that regulates metabolism and the immune response. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism but is not involved in responding to low blood sugar levels.

3. Which muscle has involuntary cells that are branched and striated and connected by intercalated discs with gap junctions?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Epithelial muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle cells fit the description provided in the question; they are involuntary, striated, and branched, with intercalated discs containing gap junctions that allow for synchronized contractions of the heart. Smooth muscle (choice A) lacks striations and is found in the walls of internal organs. Skeletal muscle (choice C) is voluntary and attaches to bones for movement. 'Epithelial muscle' (choice D) is not a valid muscle type, making it an incorrect choice.

4. Why is the lining of the stomach covered with rugae?

• A. Rugae increase the output of gastric juices.
• B. Rugae increase the surface area of the stomach.
• C. Rugae increase the permeability of the stomach walls.
• D. Rugae increase the types of nutrients that can diffuse.

Correct answer: B

Rationale: Rugae are folds in the stomach lining that increase its surface area. This increased surface area allows for more efficient digestion and absorption of nutrients in the stomach. Choice A is incorrect because rugae do not directly affect the output of gastric juices. Choice C is incorrect because rugae do not impact the permeability of the stomach walls. Choice D is incorrect because rugae do not influence the types of nutrients that can diffuse.

5. Diabetes mellitus is a chronic condition affecting blood sugar control. What is the main type of hormone deficiency associated with type 1 diabetes?

• A. Insulin
• B. Glucagon
• C. Estrogen
• D. Testosterone

Correct answer: A

Rationale: The correct answer is A: Insulin. Type 1 diabetes is characterized by the body's inability to produce insulin, the hormone responsible for regulating blood sugar levels. Insulin deficiency in type 1 diabetes leads to high blood sugar levels as the body cannot effectively utilize glucose for energy. Glucagon (Choice B) is a hormone that works opposite to insulin, raising blood sugar levels. Estrogen (Choice C) and testosterone (Choice D) are not directly involved in blood sugar control or the pathophysiology of type 1 diabetes.

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