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. You have been given a sample tissue that has pillar-shaped cells arranged tightly together. The tissue you have is:

• A. Squamous Epithelium
• B. Cuboidal Epithelium
• C. Columnar Epithelium
• D. Transitional Epithelium

Correct answer: C

Rationale: The correct answer is C: Columnar Epithelium. Columnar epithelium is characterized by tall, pillar-like cells that are closely packed together. This arrangement allows for absorption and secretion in tissues like the digestive tract, where this type of epithelium is commonly found. Squamous epithelium (choice A) consists of flat cells, cuboidal epithelium (choice B) has cube-shaped cells, and transitional epithelium (choice D) is found in areas that need to stretch and expand, like the urinary bladder.

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

• A. To filter waste from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To maintain fluid balance

Correct answer: A

Rationale: The correct answer is A: 'To filter waste from the blood.' The primary function of the kidneys in the urinary system is to filter waste products and excess substances from the blood, forming urine, which is then excreted from the body. This process helps maintain the body's internal environment by regulating the balance of electrolytes, fluid levels, and eliminating metabolic waste products. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and maintain fluid balance, their primary function within the urinary system is the filtration of waste from the blood.

4. Which hormone is responsible for regulating blood sugar levels?

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

Correct answer: A

Rationale: Insulin, produced by the pancreas, is the hormone responsible for regulating blood sugar levels. It works by facilitating the uptake of glucose into cells, helping to lower blood sugar levels. Glucagon, on the other hand, works to increase blood sugar levels by promoting the release of glucose from the liver. Thyroxine is a hormone produced by the thyroid gland that regulates metabolism. Melatonin, a hormone that helps regulate sleep-wake cycles, is not responsible for regulating blood sugar levels. Therefore, the correct answer is insulin.

5. 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.

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