Nursing Elites

1. Which gland is located superior to the kidney?

• A. Pituitary
• B. Adrenal
• C. Hypothalamus
• D. Pancreas

Correct answer: B

Rationale: The adrenal gland is located superior to the kidney. Each kidney is surrounded by an adrenal gland, also known as the suprarenal gland, situated on top of the kidneys. The pituitary gland (A) is located in the brain, while the hypothalamus (C) is also in the brain, above the pituitary gland. The pancreas (D) is located in the abdomen, near the stomach and small intestine, not superior to the kidney.

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 of the heart's four chambers is the largest and the strongest?

• A. Right atrium
• B. Left ventricle
• C. Right ventricle
• D. Left atrium

Correct answer: B

Rationale: The left ventricle is the largest and strongest chamber of the heart. It pumps oxygenated blood to the body, making it vital for systemic circulation. The right atrium receives deoxygenated blood from the body, the right ventricle pumps this blood to the lungs, and the left atrium receives oxygenated blood from the lungs.

4. What is the primary function of hemoglobin in red blood cells?

• A. To transport nutrients
• B. To fight infections
• C. To carry oxygen
• D. To produce energy

Correct answer: C

Rationale: The correct answer is C: 'To carry oxygen.' Hemoglobin in red blood cells binds to oxygen in the lungs and transports it to the tissues and organs throughout the body. This oxygen transport is crucial for cellular respiration and the overall functioning of the body. Choices A, B, and D are incorrect because hemoglobin's primary function is not to transport nutrients, fight infections, or produce energy in red blood cells.

5. Which brain part is responsible for regulating heart rate and blood pressure?

• A. Cerebellum
• B. Medulla oblongata
• C. Hypothalamus
• D. Pons

Correct answer: B

Rationale: The medulla oblongata, situated in the brainstem, plays a crucial role in controlling essential functions like heart rate, blood pressure, and breathing. It contains vital cardiovascular and respiratory centers, making it the correct choice for the regulation of heart rate and blood pressure. The cerebellum is primarily involved in coordinating movement and balance, not in regulating heart rate and blood pressure. The hypothalamus is responsible for maintaining homeostasis, regulating body temperature, hunger, and thirst, but not specifically heart rate and blood pressure. The pons is involved in functions like sleep, respiration, and bladder control, not primarily in regulating heart rate and blood pressure.

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