Nursing Elites

1. When an individual is under stress, hormones are released. Which of the following is not one of the locations where hormones are released when under stress?

• A. Parathyroid gland
• B. Adrenal cortex
• C. Posterior pituitary
• D. Hypothalamus

Correct answer: A

Rationale: The parathyroid gland is not a location where hormones are typically released during stress. It primarily regulates calcium levels in the blood through the release of parathyroid hormone (PTH). On the other hand, the adrenal cortex releases hormones like cortisol in response to stress, the posterior pituitary releases oxytocin and antidiuretic hormone, and the hypothalamus plays a crucial role in coordinating stress responses through the release of corticotropin-releasing hormone (CRH). Therefore, the parathyroid gland is the correct answer as it is not directly involved in the stress response pathway.

2. How might vitamin D deficiency present?

• A. As bleeding gums
• B. As swollen extremities
• C. As red patches
• D. As crooked bones

Correct answer: D

Rationale: Vitamin D deficiency can present as crooked bones in children due to a condition called rickets. This is because vitamin D plays a crucial role in calcium absorption and bone health. Inadequate levels of vitamin D can lead to soft and weak bones, resulting in skeletal deformities such as bow legs or knock knees. Choices A, B, and C are incorrect as bleeding gums are more commonly associated with vitamin C deficiency (scurvy), swollen extremities could be a sign of various conditions like edema, and red patches are not typically a direct manifestation of vitamin D deficiency.

3. Which part of the nervous system includes the femoral, radial, and ulnar nerves?

• A. Somatic
• B. Autonomic
• C. Sympathetic
• D. Parasympathetic

Correct answer: A

Rationale: The correct answer is A: Somatic. The femoral, radial, and ulnar nerves are all part of the somatic nervous system, responsible for controlling voluntary movements and sensory input. These nerves innervate muscles and skin throughout the body, allowing conscious control of movements and sensations. The somatic nervous system is distinct from the autonomic nervous system, which regulates involuntary bodily functions. Choices B, C, and D are incorrect because the autonomic nervous system (B) is responsible for involuntary functions, while the sympathetic (C) and parasympathetic (D) divisions are subdivisions of the autonomic nervous system, not the somatic nervous system.

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. What is the function of the stomach in digestion?

• A. To absorb nutrients
• B. To break down food
• C. To secrete digestive enzymes
• D. To store glucose

Correct answer: B

Rationale: The correct answer is B: 'To break down food.' The stomach's primary function in digestion is to break down food mechanically and chemically. It accomplishes this by mixing food with gastric acid and digestive enzymes, resulting in the formation of chyme, a semi-liquid mixture that moves on to further digestion in the small intestine. Choice A is incorrect because the absorption of nutrients occurs mainly in the small intestine, not in the stomach. Choice C is incorrect because while the stomach does secrete digestive enzymes like pepsin, its primary role is not just limited to enzyme secretion. Choice D is incorrect because the storage of glucose primarily occurs in the liver and muscles, not in the stomach.

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