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. 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.

3. Which feature of the ear is most medial?

• A. Pinna
• B. Tympanic membrane
• C. Cochlea
• D. Outer canal

Correct answer: B

Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.

4. Where does primary peristalsis occur?

• A. Esophagus
• B. Stomach
• C. Nervous system
• D. Small intestine

Correct answer: A

Rationale: Primary peristalsis occurs in the esophagus. Peristalsis is the coordinated muscular contractions that propel food through the digestive tract. In the esophagus, primary peristalsis is the involuntary wave-like contractions that push food from the mouth to the stomach. It is the natural and automatic process that occurs to facilitate the movement of food during digestion. The stomach (choice B), nervous system (choice C), and small intestine (choice D) are not the primary sites where peristalsis occurs in the digestive system.

5. What is the function of the large intestine in the digestive system?

• A. To secrete digestive enzymes
• B. To absorb water and form solid waste
• C. To produce bile
• D. To transport nutrients

Correct answer: B

Rationale: The large intestine's primary function is to absorb water from the remaining indigestible food matter that enters it from the small intestine. This absorption process helps in forming solid waste (feces) by compacting the material and preparing it for excretion. The large intestine does not secrete digestive enzymes, produce bile, or transport nutrients. Therefore, option B, 'To absorb water and form solid waste,' is the correct function of the large intestine in the digestive system.

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