Nursing Elites

1. Which hormone is produced by the adrenal glands in response to stress?

• A. Insulin
• B. Adrenaline
• C. Glucagon
• D. Thyroxine

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is produced by the adrenal glands in response to stress. It helps prepare the body for the 'fight or flight' response by increasing heart rate, dilating airways, and mobilizing energy sources. Choice A, Insulin, is incorrect as it is produced by the pancreas and regulates blood sugar levels. Choice C, Glucagon, is also produced by the pancreas and functions to increase blood glucose levels. Choice D, Thyroxine, is produced by the thyroid gland and regulates metabolism, not specifically in response to stress.

2. Which of the following structures is responsible for producing insulin?

• A. Liver
• B. Pancreas
• C. Gallbladder
• D. Spleen

Correct answer: B

Rationale: The correct answer is B: Pancreas. The pancreas is the organ responsible for producing insulin. Insulin is a hormone that helps regulate blood sugar levels by allowing cells to take in glucose from the bloodstream. The liver (choice A) plays a role in regulating blood sugar levels through glycogen storage and release but does not produce insulin. The gallbladder (choice C) stores bile produced by the liver to aid in digestion and has no direct involvement in insulin production. The spleen (choice D) is involved in immune function and blood storage but not in the production of insulin.

3. In the cardiovascular system, what does the term 'double circulation' refer to?

• A. The separation of oxygenated and deoxygenated blood flow within the heart.
• B. The regulation of blood pressure through vasoconstriction and vasodilation.
• C. The cyclic contraction and relaxation of the heart muscle.
• D. The existence of two separate circulatory pathways, one for the lungs and one for the body.

Correct answer: D

Rationale: The term 'double circulation' in the cardiovascular system refers to the existence of two separate circulatory pathways, one for the lungs (pulmonary circulation) and one for the body (systemic circulation). Oxygen-poor blood is pumped from the heart to the lungs for oxygenation, and then oxygen-rich blood is pumped from the lungs back to the heart to be circulated to the rest of the body. Choices A, B, and C are incorrect as they do not accurately describe the concept of 'double circulation.' Choice A refers to the separation of oxygenated and deoxygenated blood within the heart, choice B relates to blood pressure regulation mechanisms, and choice C describes the cardiac muscle's contraction and relaxation, none of which define 'double circulation' in the context of the cardiovascular system.

4. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath.
• D. Numbness or tingling in the extremities.

Correct answer: B

Rationale: Chest pain or discomfort is the most common symptom of angina pectoris. This pain is often described as squeezing, pressure, heaviness, tightness, or pain in the chest. Fever and chills, sudden onset of severe shortness of breath, and numbness or tingling in the extremities are not typical symptoms of angina pectoris. The pain associated with angina is usually triggered by physical or emotional stress and typically subsides with rest or medication, distinguishing it from other conditions.

5. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

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