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 structure is part of both the male reproductive system and the urinary system?

Correct answer: B

Rationale: The urethra is the correct answer because it is a tube that is part of both the male reproductive system and the urinary system. It allows urine to pass out of the body as part of the urinary system and also transports semen as part of the male reproductive system. The bladder (Choice A) is solely part of the urinary system, storing urine. The prostate (Choice C) is part of the male reproductive system, secreting fluids that nourish and protect sperm. The seminal vesicle (Choice D) is also part of the male reproductive system, producing seminal fluid that mixes with sperm to form semen.

3. How might the headrest on a car prevent traumatic injury?

Correct answer: B

Rationale: The headrest on a car is designed to prevent traumatic injury by limiting hyperextension of the neck during a rear-end collision. This helps reduce the risk of whiplash and other neck injuries that may occur when the head is forcefully thrown backward. Choice A is incorrect because hyperflexion is not the primary concern in rear-end collisions. Choice C is incorrect as the headrest does not directly reduce vertebral compression. Choice D is incorrect because the headrest is not directly involved in preventing disc degeneration.

4. Which of the following structures regulates the transport of substances in and out of a cell?

Correct answer: B

Rationale: The cell membrane, also known as the plasma membrane, is responsible for regulating the transport of substances in and out of the cell. It acts as a selective barrier, allowing the passage of certain molecules while restricting others. This selective permeability helps maintain homeostasis within the cell by controlling the movement of essential substances like nutrients and waste products. The nucleus (Choice A) is the organelle that houses the cell's genetic material and is not directly involved in regulating substance transport. Cytoplasm (Choice C) is the gel-like substance that fills the cell and does not play a direct role in regulating substance transport. Mitochondria (Choice D) are responsible for energy production in the cell through cellular respiration and are not primarily involved in substance transport.

5. Which gland produces hormones that regulate metabolism?

Correct answer: B

Rationale: The thyroid gland is responsible for producing hormones, such as thyroxine, that play a crucial role in regulating metabolism, energy production, and overall growth and development in the body. The pituitary gland, while important for hormone regulation, does not primarily regulate metabolism. The adrenal gland is responsible for producing hormones like cortisol and adrenaline, which are more related to stress response than direct metabolism regulation. The pineal gland mainly produces melatonin, which regulates sleep-wake cycles and not metabolism. Therefore, the correct answer is the thyroid gland.

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