Nursing Elites

1. What is the role of bile in digestion?

• A. To break down carbohydrates
• B. To emulsify fats
• C. To neutralize stomach acid
• D. To absorb proteins

Correct answer: B

Rationale: Bile emulsifies fats, breaking them down into smaller droplets for easier digestion.

2. How does urine flow through the urethra?

• A. Continuously
• B. Only when the bladder is completely full
• C. Under voluntary control of sphincter muscles
• D. A combination of B and C

Correct answer: C

Rationale: Urine flows through the urethra under voluntary control of sphincter muscles. These muscles can be consciously contracted or relaxed to control the flow of urine from the bladder to the outside of the body. Choice A is incorrect as urine flow is not continuous but rather regulated. Choice B is incorrect because urine flow is not restricted to only when the bladder is completely full. Choice D is incorrect as it inaccurately combines the two incorrect statements of choices B and C.

3. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

4. Certain medications can suppress the immune system to treat autoimmune diseases or prevent organ rejection after transplants. What is a potential risk associated with immunosuppressive drugs?

• A. Increased risk of developing allergies
• B. Increased susceptibility to infections
• C. Both A and B
• D. Neither A nor B

Correct answer: B

Rationale: Immunosuppressive drugs work by suppressing the immune system's activity, which can increase the risk of infections as the body's ability to fight off pathogens is compromised. While allergies can be a side effect of some medications, the primary concern with immunosuppressive drugs is the increased susceptibility to infections. Therefore, the correct answer is B, increased susceptibility to infections. Choice A, 'Increased risk of developing allergies,' is incorrect as the primary risk associated with immunosuppressive drugs is not related to allergies. Choice C, 'Both A and B,' is incorrect as the main concern is the increased susceptibility to infections rather than developing allergies. Choice D, 'Neither A nor B,' is incorrect as there is a known risk of increased susceptibility to infections when using immunosuppressive drugs.

5. Which hormone is released by the adrenal glands in response to stress?

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

Correct answer: C

Rationale: Adrenaline is the correct answer. It is released by the adrenal glands in response to stress to prepare the body for the 'fight or flight' response. Adrenaline increases heart rate, dilates airways, and mobilizes energy stores to help the body deal with the perceived threat. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not in response to stress. Cortisol (Choice B) is another hormone released by the adrenal glands in response to stress, but it primarily helps regulate metabolism and immune response. Glucagon (Choice D) is also produced by the pancreas to increase blood sugar levels when they are low, not by the adrenal glands in response to stress.

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