Nursing Elites

1. What is the primary role of the liver in the body?

• A. Producing insulin
• B. Detoxifying harmful substances
• C. Digesting food
• D. Storing energy

Correct answer: B

Rationale: The correct answer is B: Detoxifying harmful substances. While the liver does produce bile for digestion and stores nutrients like glycogen, its primary function is to filter and detoxify blood coming from the digestive tract before passing it to the rest of the body. Therefore, choices A, C, and D are incorrect. Producing insulin is mainly done by the pancreas, digesting food is primarily the role of the stomach and intestines, and storing energy is a function of various organs like muscles and fat cells.

2. 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.

3. When the pulmonary valve and aortic valves are open, where can blood flow?

• A. Between the two ventricles of the heart
• B. From atrium to ventricle within the heart
• C. Between the heart and the rest of the body
• D. Between the atria in the heart

Correct answer: C

Rationale: When the pulmonary valve and aortic valves are open, blood can flow between the heart and the rest of the body. The pulmonary valve allows blood to flow from the right ventricle to the lungs for oxygenation, while the aortic valve permits blood to flow from the left ventricle to the rest of the body for distribution of oxygen and nutrients. This circulation pathway ensures that oxygen-rich blood is pumped to the body tissues. Choices A, B, and D are incorrect because when the pulmonary valve and aortic valves are open, blood is not flowing between the ventricles, from atrium to ventricle, or between the atria; instead, it is being pumped out of the heart to the lungs and the rest of the body.

4. Which hormone is produced by the pancreas to lower blood glucose levels?

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

Correct answer: B

Rationale: The correct answer is B: Insulin. Insulin, produced by the pancreas, is the hormone responsible for lowering blood glucose levels. It achieves this by promoting the uptake of glucose into cells, thereby reducing the concentration of glucose in the bloodstream. Choice A, Glucagon, is actually a hormone produced by the pancreas that works to raise blood glucose levels by stimulating the liver to release stored glucose. Choice C, Cortisol, is a hormone produced by the adrenal glands, not the pancreas, and is involved in stress response and regulation of metabolism. Choice D, Melatonin, is a hormone produced by the pineal gland that regulates sleep-wake cycles and is not directly involved in blood glucose level regulation.

5. Which hormone is released in response to low blood glucose levels?

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

Correct answer: B

Rationale: Glucagon is the hormone released in response to low blood glucose levels. When blood glucose levels drop, the pancreas secretes glucagon to stimulate the liver to break down glycogen into glucose, increasing blood sugar levels. This helps to restore the body's glucose balance. Insulin, on the other hand, is released in response to high blood glucose levels to lower blood sugar by promoting glucose uptake by cells. Cortisol is a stress hormone, and adrenaline is released in response to stress or danger, not specifically to regulate blood glucose levels.

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