Nursing Elites

1. Which hormone is involved in regulating the sleep-wake cycle?

• A. Insulin
• B. Melatonin
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: The correct answer is B: Melatonin. Melatonin, produced by the pineal gland, is the hormone involved in regulating the sleep-wake cycle. It plays a crucial role in signaling the body that it is time to sleep and is influenced by light exposure. Melatonin levels typically rise in the evening, promoting sleep, and decrease in the morning, helping in waking up. Choice A, Insulin, is involved in regulating blood sugar levels, not the sleep-wake cycle. Choice C, Cortisol, is a stress hormone that helps regulate metabolism and immune response but is not primarily involved in the sleep-wake cycle. Choice D, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism, growth, and development, but it is not directly involved in regulating the sleep-wake cycle.

2. What is the role of platelets in the blood?

• A. To transport oxygen
• B. To fight infections
• C. To clot blood
• D. To carry nutrients

Correct answer: C

Rationale: Platelets, also known as thrombocytes, play a crucial role in blood clotting. When there is an injury, platelets adhere to the site and release substances that form a clot, preventing excessive bleeding. This function is vital for maintaining hemostasis and preventing blood loss. Choice A is incorrect because red blood cells, not platelets, are responsible for transporting oxygen. Choice B is incorrect as white blood cells are primarily responsible for fighting infections. Choice D is incorrect as nutrients are mainly transported by plasma and red blood cells, not platelets.

3. 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.

4. Which structure in the ear is responsible for hearing?

• A. Cochlea
• B. Semicircular canals
• C. Ossicles
• D. Eustachian tube

Correct answer: A

Rationale: The cochlea, located in the inner ear, is responsible for detecting sound waves and converting them into neural signals that are sent to the brain for processing. It plays a crucial role in the process of hearing by translating mechanical vibrations into electrical signals that the brain can interpret as sound. The semicircular canals (Choice B) are responsible for balance and detecting head movements, not hearing. The ossicles (Choice C) are three tiny bones in the middle ear that transmit sound vibrations from the eardrum to the cochlea. The Eustachian tube (Choice D) helps equalize pressure between the middle ear and the atmosphere, but it is not directly involved in the process of hearing.

5. What is the main function of the adrenal glands?

• A. Regulation of metabolism
• B. Production of bile
• C. Regulation of blood pressure
• D. Production of insulin

Correct answer: C

Rationale: The main function of the adrenal glands is to produce hormones like adrenaline and cortisol. These hormones play a crucial role in regulating blood pressure, metabolism, and the body's stress response. While the adrenal glands do have some impact on metabolism, their primary function is not the direct regulation of metabolism. They are not involved in the production of bile or insulin. Therefore, the correct answer is the regulation of blood pressure.

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