what is the role of the kidneys in the urinary system
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Nursing Elites

HESI A2

HESI A2 Practice Test Anatomy and Physiology

1. What is the function of the kidneys in the urinary system?

Correct answer: A

Rationale: The correct answer is A: 'To filter blood and remove waste.' The kidneys play a crucial role in the urinary system by filtering blood to remove waste products and excess fluids, which are then excreted as urine. This process helps maintain the body's internal balance by regulating electrolyte levels and controlling blood pressure. Choices B, C, and D are incorrect because the kidneys do not produce red blood cells (bone marrow does), regulate blood pressure directly (although they indirectly influence it through the renin-angiotensin-aldosterone system), or absorb water (they regulate water balance but do not absorb water).

2. Which hormone stimulates milk production in the breasts during lactation?

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

3. Where will a person who has damage to their ulnar nerve experience decreased sensation?

Correct answer: B

Rationale: The ulnar nerve innervates the forearm and hand, specifically providing sensation to the ring and little fingers. Damage to this nerve can lead to decreased sensation in these areas, making the arm the correct answer. Choices A, C, and D are incorrect because the ulnar nerve does not supply sensation to the leg, face, or abdomen.

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

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. Kidneys play a crucial role in maintaining the body's overall balance by filtering out waste, regulating fluid levels, and helping in the elimination of toxins. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and help in nutrient absorption indirectly, their primary function is the filtration of waste from the blood.

5. Which structure in the brain regulates sleep and wakefulness?

Correct answer: C

Rationale: The pineal gland, located in the brain, is responsible for regulating sleep and wakefulness by secreting the hormone melatonin. Melatonin plays a crucial role in controlling the sleep-wake cycle, with higher levels at night inducing sleepiness. The hypothalamus (Choice A) regulates various physiological processes but is not primarily responsible for sleep-wake cycles. The thalamus (Choice B) is involved in relaying sensory information but not specifically in regulating sleep. The cerebellum (Choice D) plays a role in coordination and motor control rather than sleep regulation.

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