Nursing Elites

1. What is the primary hormone secreted by the thyroid gland?

• A. Oxytocin
• B. TSH
• C. Adrenaline
• D. T4

Correct answer: D

Rationale: The correct answer is D: T4. The primary hormone secreted by the thyroid gland is thyroxine, also known as T4. T4 plays a crucial role in regulating metabolism, growth, and energy levels in the body. It is converted into the more active form, triiodothyronine (T3), which exerts most of the biological effects of thyroid hormones. Choices A, B, and C are incorrect. Oxytocin is not produced by the thyroid gland but by the pituitary gland, TSH (thyroid-stimulating hormone) is secreted by the pituitary gland to stimulate the thyroid gland, and adrenaline is produced by the adrenal glands, not the thyroid gland.

2. What is the first step in pulmonary circulation?

• A. Blood moves toward the heart through the pulmonary veins.
• B. The pulmonary artery carries blood from the heart to the lungs.
• C. Carbon dioxide is exchanged for oxygen.
• D. Oxygenated blood moves through the aorta.

Correct answer: B

Rationale: The correct answer is B: The pulmonary artery carries blood from the heart to the lungs. The first step in pulmonary circulation involves the right ventricle of the heart pumping deoxygenated blood into the pulmonary artery. The pulmonary artery then carries this deoxygenated blood from the heart to the lungs for oxygenation. This step is crucial for the exchange of carbon dioxide for oxygen to occur in the lungs, facilitating the oxygenation of blood. Choices A, C, and D are incorrect because they do not represent the initial step in pulmonary circulation. Option A refers to blood moving away from the heart, option C describes the gas exchange process that occurs in the lungs but not as the first step, and option D mentions oxygenated blood moving through the aorta, which happens after oxygenation in the lungs.

3. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

4. What is the primary function of the hypothalamus?

• A. Regulates body balance and thermoregulation
• B. Controls hunger and thirst
• C. Regulates sleep and circadian rhythms
• D. Controls voluntary movements

Correct answer: A

Rationale: The primary function of the hypothalamus is to regulate body balance and thermoregulation. It plays a crucial role in maintaining overall body equilibrium by controlling functions such as body temperature and water balance. While the hypothalamus is also involved in hunger and thirst regulation, its main role is to ensure homeostasis by monitoring and adjusting body balance and temperature. Choices B, C, and D are incorrect because hunger and thirst regulation, sleep and circadian rhythm regulation, and control of voluntary movements are secondary functions of the hypothalamus compared to its primary role in maintaining body balance and thermoregulation.

5. Which of the following epithelial types is correctly matched with its major function?

• A. Simple squamous epithelium – diffusion
• B. Stratified squamous epithelium – protection
• C. Stratified squamous epithelium – diffusion
• D. Simple columnar epithelium – secretion or absorption

Correct answer: D

Rationale: The correct answer is D. Simple columnar epithelium is indeed primarily responsible for secretion and absorption due to its tall shape and presence of microvilli, which increase surface area for these functions. Simple squamous epithelium is mainly involved in diffusion, allowing for the exchange of gases or nutrients. Stratified squamous epithelium functions more for protection against mechanical stress and pathogens, as it forms a tough, protective barrier due to its many layers.

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