Nursing Elites

1. Which of the following is not part of the body’s secondary defense system?

• A. Macrophages
• B. Leukocytes
• C. T cells
• D. Cilia

Correct answer: D

Rationale: Cilia are not part of the body's secondary defense system. They are hair-like structures primarily involved in movement and transporting substances across cell surfaces, such as in the respiratory tract for debris and pathogen removal. However, cilia do not play a direct role in the immune response mechanisms characteristic of the body's secondary defense system. Macrophages, leukocytes, and T cells are immune cells that actively participate in the secondary defense system by targeting and eliminating pathogens.

2. What is the role of the spleen in the immune system?

• A. To filter blood and remove old red blood cells
• B. To produce white blood cells
• C. To store lymphocytes
• D. To produce antibodies

Correct answer: A

Rationale: The spleen plays a crucial role in the immune system by filtering blood, specifically removing old or damaged red blood cells. It also stores lymphocytes, which are white blood cells that help fight infections. While the spleen does not produce white blood cells or antibodies, its main functions lie in blood filtration and storage of immune cells. Therefore, the correct answer is A. Choice B is incorrect because the spleen does not produce white blood cells. Choice C is incorrect as the spleen stores lymphocytes but does not primarily function to do so. Choice D is incorrect because the spleen does not produce antibodies.

3. Which of the following statements is anatomically correct?

• A. The knee is distal to the ankle.
• B. The heart is inferior to the diaphragm.
• C. The hip is proximal to the knee.
• D. The wrist is proximal to the elbow.

Correct answer: C

Rationale: The term 'proximal' refers to a body part being closer to the center of the body or a point of reference. In this case, the hip is closer to the center of the body compared to the knee, which makes the statement anatomically correct. Choice A is incorrect as the knee is proximal to the ankle. Choice B is incorrect as the heart is superior to the diaphragm. Choice D is incorrect as the elbow is proximal to the wrist.

4. Which hormone is produced by the pancreas?

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

Correct answer: A

Rationale: Insulin is the correct answer. Insulin is produced by the pancreas and plays a crucial role in regulating blood glucose levels. It facilitates the uptake of glucose into cells, helping to lower blood sugar levels. Glucagon, on the other hand, is also produced by the pancreas but functions to raise blood glucose levels by stimulating the release of glucose from the liver. Somatostatin is another hormone produced by the pancreas that helps regulate the endocrine system. Cortisol, produced by the adrenal glands, plays a role in stress response and metabolism, not by the pancreas.

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

• A. norepinephrine
• B. antidiuretic hormone
• C. prolactin
• D. oxytocin

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.

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